| NPI | 1861734394 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: WA MD60639198) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: WA ML60368616) |
| Enumeration Date | 2013-03-22 |
| Last Update Date | 2018-03-17 |