| NPI | 1285600866 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: WA MD60367308) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: ID M10740) |
| 208000000X Pediatrics (Licence: CA G137950) | |
| Enumeration Date | 2006-02-24 |
| Last Update Date | 2021-03-31 |