| NPI | 1073740205 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0204X Pediatrics, Pediatric Emergency Medicine (Licence: CA 20A14115) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: MD H74880) |
| 208000000X Pediatrics (Licence: CA 20A14115) | |
| Enumeration Date | 2009-06-15 |
| Last Update Date | 2015-06-25 |