| NPI | 1902856511 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: CO 46882) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: TN 41091) |
| Enumeration Date | 2006-05-12 |
| Last Update Date | 2008-09-24 |