| NPI | 1528355880 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2080P0204X Pediatrics, Pediatric Emergency Medicine (Licence: GA 78193) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: MO 2011015976) |
| 2080P0204X Pediatrics, Pediatric Emergency Medicine (Licence: UT 9054833-1205) | |
| Enumeration Date | 2011-07-06 |
| Last Update Date | 2022-07-21 |