| NPI | 1497763973 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: WA MD00046539) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: OR MD26546) |
| Enumeration Date | 2006-08-03 |
| Last Update Date | 2007-07-08 |