| NPI | 1932463080 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0204X Pediatrics, Pediatric Emergency Medicine (Licence: PA OS019304) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: VA 0116025105) |
| Enumeration Date | 2012-07-03 |
| Last Update Date | 2018-06-26 |