| NPI | 1548322985 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: FL OS19766) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: WA OP61482874) |
| 208000000X Pediatrics (Licence: GA 051198) | |
| 208000000X Pediatrics (Licence: WA OP61482874) | |
| Enumeration Date | 2006-12-14 |
| Last Update Date | 2025-04-08 |