| NPI | 1851754030 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: OH 35.145222) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: WA ML60657201) |
| Enumeration Date | 2016-04-04 |
| Last Update Date | 2022-06-23 |