| NPI | 1639194764 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: NC 2007-00120) |
| Additional Taxonomies | 2080A0000X Pediatrics, Adolescent Medicine (Licence: NC 2007-00120) |
| 2080P0204X Pediatrics, Pediatric Emergency Medicine (Licence: NC 2007-00120) | |
| Enumeration Date | 2006-07-12 |
| Last Update Date | 2020-10-28 |