| NPI | 1679809131 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207PP0204X Emergency Medicine Pediatric Emergency Medicine (Licence: CO DR.0048123) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: CO 48123) |
| 208000000X Pediatrics (Licence: VT 0420011158) | |
| Enumeration Date | 2009-10-19 |
| Last Update Date | 2020-01-29 |