| NPI | 1669730685 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080A0000X Pediatrics, Adolescent Medicine (Licence: MA 262395) |
| Additional Taxonomies | 2080A0000X Pediatrics, Adolescent Medicine (Licence: WA MD60850597) |
| Enumeration Date | 2012-04-27 |
| Last Update Date | 2018-05-26 |