| NPI | 1811192503 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: CO DR.0054250) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: OH 34.009048) |
| 2080P0204X Pediatrics Pediatric Emergency Medicine (Licence: OH 34.009048) | |
| 2080P0204X Pediatrics Pediatric Emergency Medicine (Licence: CO DR.0054250) | |
| Enumeration Date | 2007-06-20 |
| Last Update Date | 2015-02-19 |