| NPI | 1629271309 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0204X Pediatrics, Pediatric Emergency Medicine (Licence: CO 61724) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: OR MD178068) |
| 2080P0204X Pediatrics, Pediatric Emergency Medicine (Licence: OR MD178068) | |
| Enumeration Date | 2007-06-08 |
| Last Update Date | 2019-03-25 |