| NPI | 1639127731 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: WA MD00048775) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: MO 2004008958) |
| Enumeration Date | 2006-05-04 |
| Last Update Date | 2024-06-11 |