| NPI | 1942694476 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: WA MD60843643) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: WA ML60561419) |
| Enumeration Date | 2015-03-23 |
| Last Update Date | 2018-12-11 |