| NPI | 1245215201 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207PP0204X Emergency Medicine Pediatric Emergency Medicine (Licence: MN 34818) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: MN 34818) |
| Enumeration Date | 2005-12-13 |
| Last Update Date | 2008-11-10 |