| NPI | 1982675997 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: GA 58406) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: TX m2588) |
| Enumeration Date | 2006-01-28 |
| Last Update Date | 2021-01-27 |