| NPI | 1114948668 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: WA MD00044472) |
| Additional Taxonomies | 207PP0204X Emergency Medicine, Pediatric Emergency Medicine (Licence: OR MD21409) |
| Enumeration Date | 2006-07-21 |
| Last Update Date | 2011-10-12 |