| NPI | 1942509724 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: WA MD61344550) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: KS 04-37283) |
| 208000000X Pediatrics (Licence: OK 34323) | |
| Enumeration Date | 2011-03-20 |
| Last Update Date | 2025-12-04 |