| NPI | 1932452372 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080A0000X Pediatrics, Adolescent Medicine (Licence: TX Q6704) |
| Additional Taxonomies | 2080A0000X Pediatrics, Adolescent Medicine (Licence: TX BP10039248) |
| Enumeration Date | 2012-10-23 |
| Last Update Date | 2021-07-12 |