| NPI | 1134113632 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: WA MD00040200) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: CA A94622) |
| Enumeration Date | 2005-09-12 |
| Last Update Date | 2022-12-08 |