| NPI | 1235335357 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: WA OP060514438) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: MO 2013021429) |
| 208000000X Pediatrics (Licence: KS 94-06747) | |
| Enumeration Date | 2007-06-25 |
| Last Update Date | 2021-04-22 |