| NPI | 1487649794 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: NM MD2008-0765) |
| Additional Taxonomies | 2080A0000X Pediatrics, Adolescent Medicine (Licence: WA MD00043749) |
| Enumeration Date | 2005-09-13 |
| Last Update Date | 2016-08-15 |