| NPI | 1700994316 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: WA MD00046060) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: MD D0060710) |
| Enumeration Date | 2006-08-25 |
| Last Update Date | 2022-02-04 |