| NPI | 1457672982 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: MO 2012003230) |
| Additional Taxonomies | 2080P0204X Pediatrics, Pediatric Emergency Medicine (Licence: MO 2012003230) |
| 208000000X Pediatrics (Licence: KS 0438511) | |
| Enumeration Date | 2010-06-18 |
| Last Update Date | 2015-12-30 |