| NPI | 1578821955 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: GA 77967) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: AL MD.32933) |
| Enumeration Date | 2012-04-24 |
| Last Update Date | 2022-05-26 |