| NPI | 1881886307 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0203X Pediatrics, Pediatric Critical Care Medicine (Licence: LA MD.200939) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: LA 200939) |
| 207P00000X Emergency Medicine (Licence: TN 55629) | |
| Enumeration Date | 2007-08-17 |
| Last Update Date | 2017-04-25 |