| NPI | 1902089295 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: MI 4301083900) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: MI 4301083900) |
| Enumeration Date | 2007-12-10 |
| Last Update Date | 2012-08-06 |