| NPI | 1477511020 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: MA 227121) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: PA MD419467) |
| 2080P0204X Pediatrics, Pediatric Emergency Medicine (Licence: PA MD419467) | |
| Enumeration Date | 2006-05-03 |
| Last Update Date | 2009-05-19 |