| NPI | 1679509475 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: WY 7622a) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: GA 54041) |
| 2080H0002X (Licence: WY 7622A) | |
| Enumeration Date | 2006-06-23 |
| Last Update Date | 2022-02-21 |