| NPI | 1649560400 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080N0001X Pediatrics, Neonatal-Perinatal Medicine (Licence: WA MD60572301) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: WA MD60572301) |
| Enumeration Date | 2011-04-13 |
| Last Update Date | 2018-08-16 |