| NPI | 1417397118 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0204X Pediatrics, Pediatric Emergency Medicine (Licence: CO DR.0062073) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: SC LL35706) |
| Enumeration Date | 2013-06-27 |
| Last Update Date | 2019-07-18 |