| NPI | 1104038652 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0204X Pediatrics, Pediatric Emergency Medicine (Licence: MO 2009011503) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: MO 2009011503) |
| Enumeration Date | 2007-05-04 |
| Last Update Date | 2009-08-03 |