| NPI | 1326194903 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: WI 67831) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: WA MD60281972) |
| 208000000X Pediatrics (Licence: MN 52113) | |
| Enumeration Date | 2007-01-26 |
| Last Update Date | 2023-09-22 |