| NPI | 1063944197 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: WA MD61058671) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: WA ML60760106) |
| Enumeration Date | 2017-03-29 |
| Last Update Date | 2023-07-13 |