| NPI | 1568761708 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0203X Pediatrics, Pediatric Critical Care Medicine (Licence: WA MD60463035) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: WA ML 60224605) |
| Enumeration Date | 2011-03-25 |
| Last Update Date | 2017-08-22 |