| NPI | 1578996518 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: OR MD217046) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: WA MD60636130) |
| Enumeration Date | 2013-08-13 |
| Last Update Date | 2024-02-02 |