| NPI | 1124223730 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207PP0204X Emergency Medicine, Pediatric Emergency Medicine (Licence: TX Q2404) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: MA L-232905) |
| 208000000X Pediatrics (Licence: NV 14475) | |
| Enumeration Date | 2007-06-15 |
| Last Update Date | 2015-07-05 |