| NPI | 1194918185 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207PP0204X Emergency Medicine, Pediatric Emergency Medicine (Licence: VA 0101246859) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: CA A 100709) |
| Enumeration Date | 2007-08-22 |
| Last Update Date | 2021-08-02 |