NPI | 1386226454 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 208000000X Pediatrics (Licence: WA MD61607488) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: WA MD61607488) |
Enumeration Date | 2021-04-27 |
Last Update Date | 2024-11-13 |