| NPI | 1831150721 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: WA MD00044868) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: OR MD25873) |
| Enumeration Date | 2006-03-30 |
| Last Update Date | 2013-06-04 |