| NPI | 1215315890 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208000000X Pediatrics (Licence: OR MD198902) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: WA MD61080964) |
| 208000000X Pediatrics (Licence: CT 61680) | |
| Enumeration Date | 2015-05-14 |
| Last Update Date | 2022-11-30 |