| NPI | 1295841989 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: WA MD00047169) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: MT 10791) |
| Enumeration Date | 2006-08-22 |
| Last Update Date | 2021-06-02 |