| NPI | 1043393655 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: OR MD27072) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: WA MD00038960) |
| Enumeration Date | 2006-10-24 |
| Last Update Date | 2012-02-22 |