| NPI | 1477916617 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: KS 04-43479) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: WI 68775-20) |
| 207PP0204X Emergency Medicine, Pediatric Emergency Medicine (Licence: WI 68775-20) | |
| Enumeration Date | 2016-04-04 |
| Last Update Date | 2020-08-26 |