| NPI | 1275771198 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208000000X Pediatrics (Licence: AL 16618) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: AL MD.16618) |
| Enumeration Date | 2009-01-30 |
| Last Update Date | 2015-12-28 |