| NPI | 1336428499 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0204X Pediatrics, Pediatric Emergency Medicine (Licence: MO 2011020503) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: MO 2011020503) |
| 2080P0204X Pediatrics, Pediatric Emergency Medicine (Licence: KS 04-35759) | |
| Enumeration Date | 2011-08-08 |
| Last Update Date | 2014-06-19 |