| NPI | 1013102649 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0204X Pediatrics, Pediatric Emergency Medicine (Licence: PA MD417166) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: AZ 37476) |
| 2080P0204X Pediatrics, Pediatric Emergency Medicine (Licence: AZ 37476) | |
| Enumeration Date | 2007-09-06 |
| Last Update Date | 2021-03-30 |