| NPI | 1073666137 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: WA MD 60217890) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: CA AFE93313) |
| Enumeration Date | 2007-01-19 |
| Last Update Date | 2021-06-23 |