| NPI | 1942656863 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: TX S7321) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: AR E-12311) |
| Enumeration Date | 2016-05-10 |
| Last Update Date | 2021-04-09 |