| NPI | 1265896575 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: WA MD61163269) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: NC 2019-00921) |
| Enumeration Date | 2016-04-12 |
| Last Update Date | 2023-10-03 |