| NPI | 1174086722 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: AZ 71724) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: AZ R77291) |
| 208000000X Pediatrics (Licence: AZ 71724) | |
| Enumeration Date | 2019-04-10 |
| Last Update Date | 2024-06-24 |