| NPI | 1619942331 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: OR DO173291) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: WA OP60176915) |
| Enumeration Date | 2006-02-17 |
| Last Update Date | 2020-09-28 |