| NPI | 1689901662 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2080P0204X Pediatrics, Pediatric Emergency Medicine (Licence: DC MD047106) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: AZ 54128) |
| 2080P0204X Pediatrics, Pediatric Emergency Medicine (Licence: MD D0087343) | |
| Enumeration Date | 2009-11-11 |
| Last Update Date | 2019-06-25 |