| NPI | 1245275528 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: NC 2011-00158) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: WA MD00046451) |
| Enumeration Date | 2006-06-19 |
| Last Update Date | 2014-01-14 |