| NPI | 1114330685 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0204X Pediatrics, Pediatric Emergency Medicine (Licence: UT 10740262-1205) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: MI 4301105080) |
| Enumeration Date | 2014-06-03 |
| Last Update Date | 2018-09-20 |