| NPI | 1689871758 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: WA MD60897284) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: MA 233362) |
| Enumeration Date | 2007-07-02 |
| Last Update Date | 2021-03-30 |