| NPI | 1902048341 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: TX P2155) |
| Additional Taxonomies | 2080A0000X Pediatrics, Adolescent Medicine (Licence: TX P2155) |
| Enumeration Date | 2009-03-31 |
| Last Update Date | 2021-05-13 |