| NPI | 1396182440 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: NH 22259) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: WA 60762190) |
| 2080A0000X Pediatrics Adolescent Medicine (Licence: WA 60762190) | |
| Enumeration Date | 2013-05-30 |
| Last Update Date | 2022-01-05 |