| NPI | 1669633376 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: WA MD60914735) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: CA 117285) |
| 208000000X Pediatrics (Licence: KY 44915) | |
| Enumeration Date | 2008-06-24 |
| Last Update Date | 2023-03-07 |