| NPI | 1992143010 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: SC 35800) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: TX Q8051) |
| Enumeration Date | 2013-06-11 |
| Last Update Date | 2018-08-30 |