| NPI | 1356605315 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: MN 56565) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: MN 56565) |
| 208000000X Pediatrics (Licence: AZ 50378) | |
| 2080P0204X Pediatrics, Pediatric Emergency Medicine (Licence: MN 56565) | |
| Enumeration Date | 2012-06-25 |
| Last Update Date | 2024-04-23 |