| NPI | 1174779003 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0204X Pediatrics, Pediatric Emergency Medicine (Licence: AL MD.29494) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: AL MD.29494) |
| 208000000X Pediatrics (Licence: AL MD.29494) | |
| Enumeration Date | 2008-08-12 |
| Last Update Date | 2019-08-28 |