| NPI | 1003855875 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: FL ME72999) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: CA G89241) |
| Enumeration Date | 2006-06-06 |
| Last Update Date | 2013-01-25 |