| NPI | 1366615296 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0204X Pediatrics, Pediatric Emergency Medicine (Licence: DC MD037211) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: NC 128309) |
| Enumeration Date | 2008-04-11 |
| Last Update Date | 2008-06-13 |