| NPI | 1285052928 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208000000X Pediatrics (Licence: CO DR0060686) |
| Additional Taxonomies | 2080P0204X Pediatrics, Pediatric Emergency Medicine (Licence: CO 060686) |
| Enumeration Date | 2014-03-31 |
| Last Update Date | 2024-06-09 |