| NPI | 1902011752 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: AR E-7513) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: TX N5363) |
| Enumeration Date | 2007-05-14 |
| Last Update Date | 2022-07-05 |