| NPI | 1316309602 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: OR MD192631) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: WA ML60657691) |
| Enumeration Date | 2016-03-24 |
| Last Update Date | 2020-04-20 |