| NPI | 1083796098 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207PP0204X Emergency Medicine, Pediatric Emergency Medicine (Licence: AZ 14454) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: AZ 14454) |
| Enumeration Date | 2006-10-19 |
| Last Update Date | 2012-08-07 |