| NPI | 1225003338 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0204X Pediatrics, Pediatric Emergency Medicine (Licence: CA C158783) |
| Additional Taxonomies | 174400000X Specialist (Licence: PA MD064663L) |
| Enumeration Date | 2006-02-22 |
| Last Update Date | 2019-01-07 |