| NPI | 1558749580 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0204X Pediatrics, Pediatric Emergency Medicine (Licence: CO 62200) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: TX BP1-0053408) |
| Enumeration Date | 2015-05-11 |
| Last Update Date | 2019-10-09 |