| NPI | 1215322748 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0204X Pediatrics, Pediatric Emergency Medicine (Licence: CA 20A15385) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: CA 20A15385) |
| Enumeration Date | 2015-04-01 |
| Last Update Date | 2021-09-20 |