| NPI | 1275282097 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: OR MD225260) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: WA ML.61290111) |
| Enumeration Date | 2022-03-20 |
| Last Update Date | 2025-07-11 |