| NPI | 1841599099 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: WA MD 60478623) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
| 208000000X Pediatrics (Licence: WA ML60224589) | |
| Enumeration Date | 2011-03-26 |
| Last Update Date | 2015-11-05 |