| NPI | 1932367059 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080H0002X Pediatrics, Hospice and Palliative Medicine (Licence: WA MD60839258) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: WA MD60839258) |
| Enumeration Date | 2008-05-27 |
| Last Update Date | 2018-09-28 |