| NPI | 1740556976 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0203X Pediatrics, Pediatric Critical Care Medicine (Licence: WA MD61083859) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: MD D79870) |
| 208000000X Pediatrics (Licence: WA MD61083859) | |
| 2080H0002X (Licence: WA MD61083859) | |
| 2080H0002X (Licence: MD D79870) | |
| 2080P0203X Pediatrics, Pediatric Critical Care Medicine (Licence: MD D79870) | |
| Enumeration Date | 2012-04-02 |
| Last Update Date | 2022-07-29 |