| NPI | 1982903225 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0204X Pediatrics, Pediatric Emergency Medicine (Licence: WI 67057) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: MI 5101019263) |
| 2080P0204X Pediatrics, Pediatric Emergency Medicine (Licence: MI 5101019263) | |
| Enumeration Date | 2011-03-25 |
| Last Update Date | 2022-07-21 |