| NPI | 1770533895 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0203X Pediatrics, Pediatric Critical Care Medicine (Licence: WA MD00033492) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: WA MD00033492) |
| 208000000X Pediatrics (Licence: WA MD00033492) | |
| Enumeration Date | 2006-05-11 |
| Last Update Date | 2016-05-04 |