| NPI | 1457598815 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2080P0204X Pediatrics, Pediatric Emergency Medicine (Licence: AZ 005478) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: FL UO1695) |
| Enumeration Date | 2009-01-07 |
| Last Update Date | 2013-04-16 |