| NPI | 1336554658 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: WA MD70007528) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: MO 2014020062) |
| Enumeration Date | 2014-06-25 |
| Last Update Date | 2026-01-16 |