| NPI | 1205871738 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: TN ND28769) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: TN MD28769) |
| 2080P0204X Pediatrics, Pediatric Emergency Medicine (Licence: TN MD28769) | |
| Enumeration Date | 2006-06-18 |
| Last Update Date | 2015-05-07 |