| NPI | 1346514783 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2080P0203X Pediatrics, Pediatric Critical Care Medicine (Licence: WA MD 60108231) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: WA MD 60108231) |
| Enumeration Date | 2012-03-02 |
| Last Update Date | 2013-08-12 |