| NPI | 1497947873 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: OR MD166647) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: WA MD60082828) |
| Enumeration Date | 2007-08-09 |
| Last Update Date | 2021-06-02 |