| NPI | 1215220934 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: WA MD60587379) |
| Additional Taxonomies | 2080A0000X Pediatrics, Adolescent Medicine (Licence: GA 72498) |
| 2080P0204X Pediatrics, Pediatric Emergency Medicine (Licence: WA MD60587379) | |
| Enumeration Date | 2011-05-27 |
| Last Update Date | 2021-03-31 |