| NPI | 1699753335 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: WV 19730) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: WV 19730) |
| Enumeration Date | 2006-01-04 |
| Last Update Date | 2018-05-07 |