| NPI | 1164405866 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0204X Pediatrics, Pediatric Emergency Medicine (Licence: MD D76390) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: VA 0101235704) |
| 207PP0204X Emergency Medicine, Pediatric Emergency Medicine (Licence: NV 14881) | |
| Enumeration Date | 2005-11-28 |
| Last Update Date | 2013-10-21 |