| NPI | 1649665829 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080A0000X Pediatrics, Adolescent Medicine (Licence: WA 60869836) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: WA MD60869836) |
| Enumeration Date | 2015-04-03 |
| Last Update Date | 2024-08-07 |