| NPI | 1881950244 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080A0000X Pediatrics, Adolescent Medicine (Licence: WA MD60570861) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: WA ML60292990) |
| 208000000X Pediatrics (Licence: WA MD60570861) | |
| Enumeration Date | 2012-04-10 |
| Last Update Date | 2022-10-28 |