| NPI | 1235321456 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0204X Pediatrics, Pediatric Emergency Medicine (Licence: DC MD043816) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: NC 2007-01055) |
| Enumeration Date | 2007-08-12 |
| Last Update Date | 2016-05-25 |