| NPI | 1588915896 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: OR MD186849) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: OR MD186849) |
| 207Q00000X Family Medicine (Licence: WA MD60558904) | |
| Enumeration Date | 2012-09-26 |
| Last Update Date | 2025-02-21 |