| NPI | 1851301097 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0204X Pediatrics, Pediatric Emergency Medicine (Licence: MO R1E69) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: MO R1E69) |
| Enumeration Date | 2006-08-09 |
| Last Update Date | 2007-07-13 |