| NPI | 1588776777 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: OR or md23018) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: WA wa md00040510) |
| Enumeration Date | 2006-08-31 |
| Last Update Date | 2022-02-04 |