| NPI | 1770890774 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208000000X Pediatrics (Licence: MN 32462) |
| Additional Taxonomies | 207PP0204X Emergency Medicine, Pediatric Emergency Medicine (Licence: MN 32462) |
| Enumeration Date | 2010-09-12 |
| Last Update Date | 2010-09-12 |