| NPI | 1295848430 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: OR MD21889) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: WA MD00038217) |
| Enumeration Date | 2006-08-15 |
| Last Update Date | 2026-05-28 |