| NPI | 1427390459 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: NC 2021-02570) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: WA 1427390459) |
| Enumeration Date | 2013-03-16 |
| Last Update Date | 2021-10-01 |