| NPI | 1194935361 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: TN 45518) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: WA MD00047919) |
| Enumeration Date | 2007-05-23 |
| Last Update Date | 2022-03-23 |