| NPI | 1578689691 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: AL MD.29495) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: AL MD.29495) |
| 208000000X Pediatrics (Licence: NV 12798) | |
| Enumeration Date | 2007-03-21 |
| Last Update Date | 2010-04-15 |