| NPI | 1962441147 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: MI 4301063055) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: WA MD00046320) |
| Enumeration Date | 2006-06-05 |
| Last Update Date | 2016-12-30 |