| NPI | 1225202260 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207PP0204X Emergency Medicine, Pediatric Emergency Medicine (Licence: UT 5324349-1205) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: UT 5323439-1205) |
| Enumeration Date | 2008-04-22 |
| Last Update Date | 2021-12-20 |