| NPI | 1730560731 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: WA MD60886799) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: CA A146620) |
| Enumeration Date | 2015-06-15 |
| Last Update Date | 2022-09-17 |