| NPI | 1407240799 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: CO MSDR.0000013) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: WA MD60847680) |
| Enumeration Date | 2015-03-24 |
| Last Update Date | 2025-01-06 |