| NPI | 1396947453 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: WA MD60016670) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: PA mt187081) |
| Enumeration Date | 2007-06-01 |
| Last Update Date | 2021-04-22 |