| NPI | 1396987293 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: OR MD153050) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: WA MD60242634) |
| Enumeration Date | 2009-03-24 |
| Last Update Date | 2020-04-14 |