| NPI | 1073522587 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: NY 291334) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: WA MD00043720) |
| Enumeration Date | 2006-08-05 |
| Last Update Date | 2018-03-22 |