| NPI | 1992932115 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: TX P7299) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: MD D0075290) |
| 208000000X Pediatrics (Licence: VA 0101252207) | |
| Enumeration Date | 2009-06-15 |
| Last Update Date | 2021-05-12 |