| NPI | 1962469460 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: MA 226322) |
| Additional Taxonomies | 2080P0204X Pediatrics Pediatric Emergency Medicine (Licence: MA 226322) |
| 208000000X Pediatrics (Licence: CA G85207) | |
| 2080P0204X Pediatrics Pediatric Emergency Medicine (Licence: CA G85207) | |
| Enumeration Date | 2006-04-27 |
| Last Update Date | 2007-07-09 |