| NPI | 1851687289 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0204X Pediatrics, Pediatric Emergency Medicine (Licence: MO 2013017448) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: MO 2013017448) |
| 208000000X Pediatrics (Licence: KS 94-08475) | |
| 2080P0204X Pediatrics, Pediatric Emergency Medicine (Licence: KS 04-40096) | |
| Enumeration Date | 2011-06-23 |
| Last Update Date | 2017-07-19 |