| NPI | 1275731937 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: WA MD60085929) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: NE 5636) |
| Enumeration Date | 2007-07-04 |
| Last Update Date | 2021-05-03 |