| NPI | 1295815074 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: WA MD60145369) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: MI 4301081761) |
| Enumeration Date | 2006-10-16 |
| Last Update Date | 2025-01-08 |