| NPI | 1194111237 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: WA OP60954917) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: FL OS15373) |
| Enumeration Date | 2015-04-14 |
| Last Update Date | 2022-08-01 |