| NPI | 1558623082 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0204X Pediatrics, Pediatric Emergency Medicine (Licence: PA OS017345) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: PA OT014882) |
| 207PP0204X Emergency Medicine, Pediatric Emergency Medicine (Licence: DE C20011389) | |
| Enumeration Date | 2012-06-11 |
| Last Update Date | 2020-08-31 |