| NPI | 1720265911 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: CO 50515) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: MO 2008010188) |
| 2080P0204X Pediatrics, Pediatric Emergency Medicine (Licence: MO 2008010188) | |
| Enumeration Date | 2008-01-30 |
| Last Update Date | 2021-06-21 |