| NPI | 1154782050 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: WA MD60943558) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: WA ML60657688) |
| Enumeration Date | 2016-03-19 |
| Last Update Date | 2019-07-07 |