| NPI | 1568457273 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0204X Pediatrics, Pediatric Emergency Medicine (Licence: CO DR.0072595) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: OH 35078939K) |
| Enumeration Date | 2005-09-19 |
| Last Update Date | 2025-02-10 |