| NPI | 1124203526 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0204X Pediatrics, Pediatric Emergency Medicine (Licence: MA 243724) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: MA 232263) |
| Enumeration Date | 2008-01-03 |
| Last Update Date | 2015-12-15 |