| NPI | 1972920239 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: WA MD60736969) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: WA ML 60469328) |
| 208000000X Pediatrics (Licence: WA 60736969) | |
| Enumeration Date | 2014-03-25 |
| Last Update Date | 2022-07-21 |