| NPI | 1922397413 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: NC 2016-00442) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: MS 26080) |
| 208000000X Pediatrics (Licence: WA MD61323011) | |
| Enumeration Date | 2011-04-05 |
| Last Update Date | 2026-02-05 |