| NPI | 1386836492 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: MN 52483) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: MO 2011006598) |
| 2080P0204X Pediatrics, Pediatric Emergency Medicine (Licence: MO 2011006598) | |
| Enumeration Date | 2007-08-13 |
| Last Update Date | 2015-06-23 |