| NPI | 1659799484 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: WA MD60740494) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: WA ML60469840) |
| Enumeration Date | 2014-03-29 |
| Last Update Date | 2018-01-05 |