| NPI | 1205255874 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207PP0204X Emergency Medicine, Pediatric Emergency Medicine (Licence: VA 0101261764) |
| Additional Taxonomies | 2080P0204X Pediatrics, Pediatric Emergency Medicine (Licence: WV 29678) |
| 208000000X Pediatrics (Licence: WV 29678) | |
| Enumeration Date | 2014-04-10 |
| Last Update Date | 2023-08-28 |