| NPI | 1164836052 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0204X Pediatrics, Pediatric Emergency Medicine (Licence: WI 73169) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: MI 4301105494) |
| Enumeration Date | 2014-06-18 |
| Last Update Date | 2020-06-24 |