| NPI | 1669479606 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: NC 9900335) |
| Additional Taxonomies | 2080A0000X Pediatrics, Adolescent Medicine (Licence: NC 9900335) |
| 2080P0204X Pediatrics, Pediatric Emergency Medicine (Licence: NC 9900335) | |
| Enumeration Date | 2005-07-06 |
| Last Update Date | 2018-05-01 |