| NPI | 1528146107 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: WA MD60014004) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: CA A80000) |
| Enumeration Date | 2006-11-01 |
| Last Update Date | 2021-06-29 |