| NPI | 1811359680 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: NC 2019-00276) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: WA 60656826) |
| Enumeration Date | 2016-03-22 |
| Last Update Date | 2019-06-05 |