| NPI | 1619905338 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: MD D0060151) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: MD DOO60151) |
| 2080P0203X Pediatrics Pediatric Critical Care Medicine (Licence: MD D60151) | |
| 2080P0204X Pediatrics Pediatric Emergency Medicine (Licence: MD D60151) | |
| Enumeration Date | 2006-06-29 |
| Last Update Date | 2012-08-21 |