| NPI | 1205947629 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: AK MEDS6432) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: WA ML20008480) |
| Enumeration Date | 2006-08-31 |
| Last Update Date | 2025-02-25 |