| NPI | 1942374095 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: WA MD 60217716) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: NH RT 1621) |
| 208000000X Pediatrics (Licence: OR MD150695) | |
| Enumeration Date | 2006-11-20 |
| Last Update Date | 2022-12-29 |