| NPI | 1356899082 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080A0000X Pediatrics, Adolescent Medicine (Licence: WA 60764804) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: CA 144305) |
| 208000000X Pediatrics (Licence: WA 60764804) | |
| Enumeration Date | 2016-09-11 |
| Last Update Date | 2020-10-12 |