| NPI | 1881952729 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: MO 2016011676) |
| Additional Taxonomies | 2080P0204X Pediatrics Pediatric Emergency Medicine (Licence: MO 2016011676) |
| Enumeration Date | 2012-04-29 |
| Last Update Date | 2016-06-22 |