| NPI | 1023036746 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080A0000X Pediatrics Adolescent Medicine (Licence: MO 2004009985) |
| Additional Taxonomies | 2080N0001X Pediatrics Neonatal-Perinatal Medicine (Licence: MO 2004009985) |
| 2080P0204X Pediatrics Pediatric Emergency Medicine (Licence: MO 2004009985) | |
| Enumeration Date | 2006-07-18 |
| Last Update Date | 2019-05-15 |