| NPI | 1497160014 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: WA 60752909) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: IL 125-065620) |
| Enumeration Date | 2014-06-23 |
| Last Update Date | 2022-07-21 |