| NPI | 1962726943 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: WA 60343447) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: MO 2017027471) |
| Enumeration Date | 2010-03-20 |
| Last Update Date | 2021-06-07 |