| NPI | 1932135001 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: WA MD60310107) |
| Additional Taxonomies | 174400000X Specialist (Licence: CA A73005) |
| Enumeration Date | 2006-06-23 |
| Last Update Date | 2021-05-11 |