| NPI | 1215192158 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0204X Pediatrics, Pediatric Emergency Medicine (Licence: MO 2014026423) |
| Additional Taxonomies | 2080P0204X Pediatrics, Pediatric Emergency Medicine (Licence: OH 34.010152) |
| 2080P0204X Pediatrics, Pediatric Emergency Medicine (Licence: KS 05-37488) | |
| Enumeration Date | 2008-07-21 |
| Last Update Date | 2014-08-11 |