| NPI | 1952714354 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0204X Pediatrics, Pediatric Emergency Medicine (Licence: CO DR.0058248) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: PA MT206726) |
| 2080A0000X Pediatrics, Adolescent Medicine (Licence: CO DR.0058248) | |
| Enumeration Date | 2014-06-04 |
| Last Update Date | 2018-12-08 |