| NPI | 1598007668 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: WA MD70024994) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: ID M-13382) |
| Enumeration Date | 2013-03-26 |
| Last Update Date | 2025-08-11 |