| NPI | 1982950259 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: TX P9078) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: KY 45018) |
| Enumeration Date | 2012-07-24 |
| Last Update Date | 2023-01-17 |