| NPI | 1750641700 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0205X Pediatrics, Pediatric Endocrinology (Licence: WA MD60874993) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: WA MD60874993) |
| Enumeration Date | 2012-05-24 |
| Last Update Date | 2018-09-25 |