| NPI | 1023044856 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: TN MD026793) |
| Additional Taxonomies | 2080P0204X Pediatrics Pediatric Emergency Medicine (Licence: TN MD026793) |
| 207P00000X Emergency Medicine (Licence: TN MD0000026793) | |
| Enumeration Date | 2006-06-23 |
| Last Update Date | 2015-05-12 |