| NPI | 1154647261 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: ID 0-1639) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: NM A-1749-13) |
| 208000000X Pediatrics (Licence: WA OP60471366) | |
| Enumeration Date | 2010-04-14 |
| Last Update Date | 2022-04-15 |