| NPI | 1952729162 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: WA MD60749665) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: WA 60470178) |
| Enumeration Date | 2014-04-03 |
| Last Update Date | 2022-11-22 |