| NPI | 1326400375 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: CA A178292) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: WA MDRE.ML.60657009) |
| Enumeration Date | 2016-03-28 |
| Last Update Date | 2024-07-31 |