| NPI | 1467989319 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: PA MD473052) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: WA MD.61076560) |
| 208000000X Pediatrics (Licence: CA A163231) | |
| Enumeration Date | 2017-05-22 |
| Last Update Date | 2023-01-13 |