| NPI | 1578623021 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0204X Pediatrics, Pediatric Emergency Medicine (Licence: KY 40062) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: KY 40062) |
| Enumeration Date | 2006-12-12 |
| Last Update Date | 2011-08-31 |