| NPI | 1427163005 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: WA WA MD000363305) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: OR OR MD20548) |
| Enumeration Date | 2006-08-21 |
| Last Update Date | 2022-02-04 |