| NPI | 1508018110 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208000000X Pediatrics (Licence: WA MD60558747) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: CA A105731) |
| 2080P0204X Pediatrics, Pediatric Emergency Medicine (Licence: WA MD60558747) | |
| Enumeration Date | 2008-10-14 |
| Last Update Date | 2015-09-23 |