| NPI | 1821443516 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080N0001X Pediatrics, Neonatal-Perinatal Medicine (Licence: WA MD61392124) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: WA G9068021) |
| Enumeration Date | 2016-04-29 |
| Last Update Date | 2023-09-19 |