| NPI | 1598992455 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: OR DO179213) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: WA OP60682848) |
| Enumeration Date | 2009-06-18 |
| Last Update Date | 2016-12-20 |