| NPI | 1972790715 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0203X Pediatrics, Pediatric Critical Care Medicine (Licence: WA MD60356821) |
| Additional Taxonomies | 2080H0002X (Licence: WA MD60356821) |
| 208000000X Pediatrics (Licence: WA MD60356821) | |
| Enumeration Date | 2007-09-25 |
| Last Update Date | 2014-06-18 |