| NPI | 1407145170 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: WA MD60450013) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: CA A123332) |
| Enumeration Date | 2011-04-04 |
| Last Update Date | 2021-12-08 |