| NPI | 1083934392 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0204X Pediatrics, Pediatric Emergency Medicine (Licence: CO DR.0055992) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: NY 271881) |
| Enumeration Date | 2010-06-09 |
| Last Update Date | 2021-12-16 |