| NPI | 1508024829 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: WA MD60732107) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: NC 141492) |
| 2080N0001X Pediatrics, Neonatal-Perinatal Medicine (Licence: NC 2010-00699) | |
| Enumeration Date | 2008-05-23 |
| Last Update Date | 2018-06-07 |