| NPI | 1508934456 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208000000X Pediatrics (Licence: FL ACN890) |
| Additional Taxonomies | 2080A0000X Pediatrics, Adolescent Medicine (Licence: PR 10293) |
| Enumeration Date | 2006-11-30 |
| Last Update Date | 2018-06-14 |