| NPI | 1922268846 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: WI 71665-20) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: WA MD60513631) |
| 2080A0000X Pediatrics, Adolescent Medicine (Licence: WA MD60513631) | |
| Enumeration Date | 2008-06-13 |
| Last Update Date | 2021-01-21 |