| NPI | 1841617032 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0204X Pediatrics, Pediatric Emergency Medicine (Licence: MN 63467) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: WI 64766) |
| Enumeration Date | 2014-03-25 |
| Last Update Date | 2018-10-22 |