| NPI | 1033149273 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 2080P0204X Pediatrics, Pediatric Emergency Medicine (Licence: MA 1019935)  | 
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: FL OS0007797)  | 
| Enumeration Date | 2006-07-04 | 
| Last Update Date | 2024-08-16 |