| NPI | 1235716853 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: WA MD61533491) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: WA ML61165277) |
| Enumeration Date | 2021-03-28 |
| Last Update Date | 2024-08-27 |