| NPI | 1932699972 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: KY 04915) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: TX BP10063427) |
| Enumeration Date | 2018-05-15 |
| Last Update Date | 2021-08-05 |