| NPI | 1255399333 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208000000X Pediatrics (Licence: OR MD16709) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: WA MD 00030157) |
| 2080P0204X Pediatrics Pediatric Emergency Medicine (Licence: WA MD 00030157) | |
| Enumeration Date | 2006-05-01 |
| Last Update Date | 2023-06-27 |