| NPI | 1922462985 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: TX S1723) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: TX BP10055836) |
| Enumeration Date | 2016-04-06 |
| Last Update Date | 2020-04-13 |