| NPI | 1114913365 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: TN 40530) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: TN 40530) |
| 208000000X Pediatrics (Licence: LA MD025360) | |
| Enumeration Date | 2005-09-23 |
| Last Update Date | 2017-02-10 |