| NPI | 1215460639 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 207PP0204X Emergency Medicine, Pediatric Emergency Medicine (Licence: LA 338503)  | 
| Additional Taxonomies | 2080P0204X Pediatrics, Pediatric Emergency Medicine (Licence: LA 338503)  | 
| Enumeration Date | 2017-04-04 | 
| Last Update Date | 2023-09-20 |