| NPI | 1467751131 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: CA A137415) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: WA MD60461207) |
| Enumeration Date | 2011-03-21 |
| Last Update Date | 2016-01-13 |