| NPI | 1184747388 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: WA MD60010636) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: NE 23428) |
| Enumeration Date | 2007-04-10 |
| Last Update Date | 2021-05-24 |