| NPI | 1578695045 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208D00000X General Practice (Licence: DE C10008651) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: DE c7-0003278) |
| 207PP0204X Emergency Medicine, Pediatric Emergency Medicine (Licence: DE C10008651) | |
| 208000000X Pediatrics (Licence: DE C10008651) | |
| Enumeration Date | 2007-03-11 |
| Last Update Date | 2008-12-10 |