| NPI | 1740744770 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: WA MD61675980) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: OR MD215446) |
| Enumeration Date | 2019-01-23 |
| Last Update Date | 2025-11-20 |