| NPI | 1952966079 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: CA A187235) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: TX 10067127) |
| Enumeration Date | 2019-05-03 |
| Last Update Date | 2023-08-25 |