| NPI | 1578724076 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: MO 2010009952) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: KS 04-35706) |
| 2080P0204X Pediatrics Pediatric Emergency Medicine (Licence: KS 04-35706) | |
| 2080P0204X Pediatrics Pediatric Emergency Medicine (Licence: MO 2010009952) | |
| Enumeration Date | 2008-06-18 |
| Last Update Date | 2017-09-26 |