| NPI | 1053601435 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: SC 39396) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: AL 32120) |
| 207P00000X Emergency Medicine (Licence: AL MD.32120) | |
| Enumeration Date | 2011-04-19 |
| Last Update Date | 2016-07-29 |