| NPI | 1679987184 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: WA OP60832577) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: NV SL1103) |
| Enumeration Date | 2014-06-12 |
| Last Update Date | 2023-10-27 |