| NPI | 1023436060 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: WA MD60759725) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: WA ML60469303) |
| Enumeration Date | 2014-04-05 |
| Last Update Date | 2018-07-05 |