| NPI | 1629364104 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2080P0204X Pediatrics, Pediatric Emergency Medicine (Licence: CA 20A17241) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: PA OT014077) |
| Enumeration Date | 2011-06-23 |
| Last Update Date | 2020-06-03 |