| NPI | 1255620753 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2080P0204X Pediatrics, Pediatric Emergency Medicine (Licence: VA 0101255773) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: VA 0101255773) |
| Enumeration Date | 2011-04-05 |
| Last Update Date | 2019-10-11 |