| NPI | 1427171834 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0204X Pediatrics, Pediatric Emergency Medicine (Licence: CA A87122) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: WA MD60217892) |
| Enumeration Date | 2007-04-09 |
| Last Update Date | 2012-07-12 |