| NPI | 1235381922 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207PP0204X Emergency Medicine Pediatric Emergency Medicine (Licence: TN 2688) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: OH IN PROCESS) |
| Enumeration Date | 2008-10-14 |
| Last Update Date | 2022-03-21 |