| NPI | 1922480839 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: TX R7767) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: TX BP10053996) |
| Enumeration Date | 2015-06-26 |
| Last Update Date | 2022-01-21 |