| NPI | 1083730105 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2080P0204X Pediatrics, Pediatric Emergency Medicine (Licence: CA a108518) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: TX P3012) |
| 208000000X Pediatrics (Licence: TX p3012) | |
| 390200000X Student in an Organized Health Care Education/Training Program (Licence: FL ME104392) | |
| Enumeration Date | 2007-03-21 |
| Last Update Date | 2023-11-03 |