| NPI | 1902847395 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: CA A103282) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: WA MD00044895) |
| Enumeration Date | 2006-06-09 |
| Last Update Date | 2018-10-22 |