| NPI | 1992930820 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: WA MD60461292) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: WA MD60461292) |
| 207R00000X Internal Medicine (Licence: KY 46326) | |
| 208000000X Pediatrics (Licence: KY 46326) | |
| Enumeration Date | 2009-05-21 |
| Last Update Date | 2017-10-25 |