| NPI | 1760019665 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: AK 212194) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: WA ML61058271) |
| 208000000X Pediatrics (Licence: WA MD61402504) | |
| Enumeration Date | 2020-03-23 |
| Last Update Date | 2023-11-18 |