| NPI | 1851597975 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: OR MD150804) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: WA MD60639170) |
| 208000000X Pediatrics (Licence: OK 25670) | |
| Enumeration Date | 2007-06-25 |
| Last Update Date | 2026-03-24 |