| NPI | 1952699266 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: TX R8925) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: SD 9334) |
| Enumeration Date | 2011-07-20 |
| Last Update Date | 2021-03-24 |