| NPI | 1952749269 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: NC 2018-00599) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: WA MD60658460) |
| Enumeration Date | 2013-06-08 |
| Last Update Date | 2018-05-23 |