| NPI | 1689683880 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: MN 41313) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: MN 41313) |
| Enumeration Date | 2006-08-05 |
| Last Update Date | 2009-01-22 |