| NPI | 1861880817 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0204X Pediatrics, Pediatric Emergency Medicine (Licence: CA 20A13298) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: CA 20A13298) |
| Enumeration Date | 2014-12-29 |
| Last Update Date | 2016-06-08 |