| NPI | 1134275746 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0204X Pediatrics, Pediatric Emergency Medicine (Licence: WI 54291) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: CO 46231) |
| Enumeration Date | 2007-01-26 |
| Last Update Date | 2012-12-19 |