| NPI | 1619361193 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: WA MD60836299) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: CA A147358) |
| Enumeration Date | 2015-03-24 |
| Last Update Date | 2022-04-15 |