| NPI | 1932527041 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: GA 79179) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: TX R3296) |
| Enumeration Date | 2014-04-04 |
| Last Update Date | 2019-06-10 |