| NPI | 1750491114 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0204X Pediatrics, Pediatric Emergency Medicine (Licence: WA MD00046700) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: WA MD00046700) |
| Enumeration Date | 2006-08-30 |
| Last Update Date | 2009-02-02 |