| NPI | 1285070169 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0204X Pediatrics, Pediatric Emergency Medicine (Licence: CA A132939) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: CA A132939) |
| 208000000X Pediatrics (Licence: WI 67529) | |
| Enumeration Date | 2013-05-17 |
| Last Update Date | 2020-08-11 |