| NPI | 1225369770 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: WA MD61264751) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: CA A110587) |
| Enumeration Date | 2010-01-22 |
| Last Update Date | 2022-10-31 |