| NPI | 1285981589 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2080P0204X Pediatrics, Pediatric Emergency Medicine (Licence: FL 145651) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: MN 62261) |
| Enumeration Date | 2012-08-06 |
| Last Update Date | 2020-09-18 |