| NPI | 1336101906 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: WA MD00048726) |
| Additional Taxonomies | 2080A0000X Pediatrics, Adolescent Medicine (Licence: WA MD00048726) |
| Enumeration Date | 2006-04-06 |
| Last Update Date | 2012-02-07 |