| NPI | 1790701126 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: PA OS8052L) |
| Additional Taxonomies | 207PP0204X Emergency Medicine, Pediatric Emergency Medicine (Licence: FL OS6969) |
| 208000000X Pediatrics (Licence: FL OS6969) | |
| 2080P0204X Pediatrics, Pediatric Emergency Medicine (Licence: FL OS6969) | |
| 2080P0204X Pediatrics, Pediatric Emergency Medicine (Licence: PA OS8052L) | |
| Enumeration Date | 2006-07-15 |
| Last Update Date | 2020-07-13 |