| NPI | 1730163882 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: CO 34679) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: CO 34679) |
| Enumeration Date | 2005-12-02 |
| Last Update Date | 2013-02-20 |