| NPI | 1427378249 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2080P0204X Pediatrics Pediatric Emergency Medicine (Licence: CO DR.0061952) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: RI LP01973) |
| Enumeration Date | 2010-06-03 |
| Last Update Date | 2019-08-23 |