| NPI | 1245267814 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208000000X Pediatrics (Licence: PR 13795) |
| Additional Taxonomies | 2080P0204X Pediatrics, Pediatric Emergency Medicine (Licence: PR 13795) |
| Enumeration Date | 2006-06-27 |
| Last Update Date | 2011-01-13 |