| NPI | 1679568711 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: CA G168185) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: MN 32101) |
| Enumeration Date | 2005-09-14 |
| Last Update Date | 2021-02-12 |