| NPI | 1760625552 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: WA 60403767) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: WA 60403767) |
| Enumeration Date | 2009-04-09 |
| Last Update Date | 2015-02-18 |