| NPI | 1568874303 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0204X Pediatrics, Pediatric Emergency Medicine (Licence: MS 25065) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: MS T-2825) |
| Enumeration Date | 2014-05-28 |
| Last Update Date | 2017-08-02 |