| NPI | 1932340874 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: WA MD60268742) |
| Additional Taxonomies | 2080H0002X (Licence: WA MD60268742) |
| Enumeration Date | 2009-03-22 |
| Last Update Date | 2021-03-16 |