| NPI | 1346295490 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 208000000X Pediatrics (Licence: MO R3G84) | 
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: MO R3G84) | 
| Enumeration Date | 2006-05-24 | 
| Last Update Date | 2016-08-27 |