| NPI | 1710087655 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: CA C132715) |
| Additional Taxonomies | 2080P0204X Pediatrics, Pediatric Emergency Medicine (Licence: CA C132715) |
| Enumeration Date | 2006-09-22 |
| Last Update Date | 2017-04-20 |