| NPI | 1326402744 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0204X Pediatrics, Pediatric Emergency Medicine (Licence: CO 61900) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: CO DR.0061900) |
| Enumeration Date | 2016-04-12 |
| Last Update Date | 2020-02-03 |