| NPI | 1023435070 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0204X Pediatrics, Pediatric Emergency Medicine (Licence: KY 51517) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: KY 51517) |
| 208000000X Pediatrics (Licence: MO 2014018162) | |
| Enumeration Date | 2014-03-26 |
| Last Update Date | 2018-08-15 |