| NPI | 1760569487 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080N0001X Pediatrics, Neonatal-Perinatal Medicine (Licence: TX M9033) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: AR E4249) |
| Enumeration Date | 2006-11-01 |
| Last Update Date | 2011-05-09 |