| NPI | 1871601013 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080A0000X Pediatrics, Adolescent Medicine (Licence: WA 60035584) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: WA ML20008455) |
| Enumeration Date | 2006-08-28 |
| Last Update Date | 2018-05-16 |