| NPI | 1326187360 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0204X Pediatrics, Pediatric Emergency Medicine (Licence: MI 4301091744) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: NM 2005-0263) |
| Enumeration Date | 2007-02-06 |
| Last Update Date | 2008-09-04 |