| NPI | 1689816233 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: WA MD60274611) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: WA 60093578) |
| Enumeration Date | 2009-03-28 |
| Last Update Date | 2020-02-19 |