| NPI | 1245657485 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: WA MD60820855) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: WA ML 60470206) |
| 2080P0204X Pediatrics, Pediatric Emergency Medicine (Licence: WA 60820855) | |
| Enumeration Date | 2014-03-26 |
| Last Update Date | 2019-03-06 |