| NPI | 1740229004 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: WA AP30003151) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: WA RN00070552) |
| Enumeration Date | 2006-06-05 |
| Last Update Date | 2012-04-26 |