| NPI | 1659349975 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 208000000X Pediatrics (Licence: VA 0101242598)  | 
| Additional Taxonomies | 2080P0204X Pediatrics, Pediatric Emergency Medicine (Licence: OK 23739)  | 
| 2080P0204X Pediatrics, Pediatric Emergency Medicine (Licence: VA 0101242598)  | |
| Enumeration Date | 2006-03-11 | 
| Last Update Date | 2021-09-10 |