| NPI | 1881993103 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: WA MD60459551) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: WA 60224540) |
| Enumeration Date | 2011-03-25 |
| Last Update Date | 2014-06-26 |