| NPI | 1235423856 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080A0000X Pediatrics, Adolescent Medicine (Licence: WA MD60723559) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: WA MD 60723559) |
| Enumeration Date | 2011-05-31 |
| Last Update Date | 2018-11-07 |