| NPI | 1013998327 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: KY 40788) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: KY 40788) |
| 208000000X Pediatrics (Licence: TN 34515) | |
| Enumeration Date | 2005-11-14 |
| Last Update Date | 2018-09-14 |