| NPI | 1386755270 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: OR MD175111) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: LA MD203049) |
| 208000000X Pediatrics (Licence: WA MD60100602) | |
| Enumeration Date | 2006-08-31 |
| Last Update Date | 2019-09-26 |