| NPI | 1295960854 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208000000X Pediatrics (Licence: CT 050744) |
| Additional Taxonomies | 2080P0204X Pediatrics Pediatric Emergency Medicine (Licence: CT 050744) |
| Enumeration Date | 2009-05-26 |
| Last Update Date | 2016-03-01 |