| NPI | 1922236256 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0204X Pediatrics, Pediatric Emergency Medicine (Licence: WI 63884) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: SC LL31939) |
| 208000000X Pediatrics (Licence: WA 60272716) | |
| Enumeration Date | 2009-06-25 |
| Last Update Date | 2015-06-17 |