| NPI | 1548204159 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0204X Pediatrics, Pediatric Emergency Medicine (Licence: CO DR.0070036) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: NC 200300921) |
| 208000000X Pediatrics (Licence: CO DR.0070036) | |
| Enumeration Date | 2006-06-15 |
| Last Update Date | 2023-10-11 |