| NPI | 1154529238 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0204X Pediatrics, Pediatric Emergency Medicine (Licence: WA MD60427484) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: KS 04-29790) |
| 207PP0204X Emergency Medicine, Pediatric Emergency Medicine (Licence: NV 15442) | |
| 207PP0204X Emergency Medicine, Pediatric Emergency Medicine (Licence: WA MD60427484) | |
| Enumeration Date | 2007-07-10 |
| Last Update Date | 2016-08-08 |