| NPI | 1023050200 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080A0000X Pediatrics, Adolescent Medicine (Licence: WA MD00047151) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: NY 224294) |
| 208000000X Pediatrics (Licence: WA MD00047151) | |
| 2080A0000X Pediatrics, Adolescent Medicine (Licence: NY 224294) | |
| Enumeration Date | 2006-06-12 |
| Last Update Date | 2023-01-13 |