| NPI | 1134233604 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: WA MD60082859) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: MT 134700) |
| 208000000X Pediatrics (Licence: OR MD174619) | |
| Enumeration Date | 2006-08-19 |
| Last Update Date | 2024-05-17 |