| NPI | 1295112431 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: WA MD60843278) |
| Additional Taxonomies | 208D00000X General Practice (Licence: WA MD60843278) |
| Enumeration Date | 2015-04-27 |
| Last Update Date | 2024-10-29 |