| NPI | 1588857783 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: WA MD60173983) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: WA ML20008971) |
| Enumeration Date | 2007-08-21 |
| Last Update Date | 2019-10-15 |