| NPI | 1356654586 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207PP0204X Emergency Medicine, Pediatric Emergency Medicine (Licence: MI 4301096436) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: MI 4301096436) |
| Enumeration Date | 2010-07-16 |
| Last Update Date | 2016-06-06 |