| NPI | 1073951828 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0204X Pediatrics, Pediatric Emergency Medicine (Licence: CA A132700) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: WI 65229) |
| 208000000X Pediatrics (Licence: CA A132700) | |
| Enumeration Date | 2013-06-13 |
| Last Update Date | 2019-07-10 |