| NPI | 1982067385 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: AZ 67432) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: WA ML60657134) |
| 208000000X Pediatrics (Licence: WA MD60969310) | |
| Enumeration Date | 2016-04-01 |
| Last Update Date | 2022-09-20 |