| NPI | 1134566003 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0204X Pediatrics, Pediatric Emergency Medicine (Licence: CO DR.0063877) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: NC 2017-01121) |
| Enumeration Date | 2013-05-31 |
| Last Update Date | 2020-08-21 |