| NPI | 1750550638 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: WA MD60317106) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: CT 047177) |
| Enumeration Date | 2008-02-26 |
| Last Update Date | 2013-02-22 |