| NPI | 1922537786 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: TX S9874) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: OK 33045) |
| Enumeration Date | 2017-06-06 |
| Last Update Date | 2024-12-11 |