| NPI | 1396968137 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0204X Pediatrics Pediatric Emergency Medicine (Licence: CO DR.0069802) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: DE C1-0012899) |
| 208000000X Pediatrics (Licence: PA MD041609-L) | |
| Enumeration Date | 2007-04-10 |
| Last Update Date | 2023-09-19 |