| NPI | 1285650804 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0204X Pediatrics, Pediatric Emergency Medicine (Licence: WI 50739) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: UT 56351451205) |
| Enumeration Date | 2006-07-15 |
| Last Update Date | 2013-08-22 |