| NPI | 1245400100 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2080P0204X Pediatrics, Pediatric Emergency Medicine (Licence: LA MD.201211) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: LA MD.201211) |
| Enumeration Date | 2008-03-06 |
| Last Update Date | 2013-07-09 |