| NPI | 1245417013 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2080P0204X Pediatrics, Pediatric Emergency Medicine (Licence: KY C3132) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: TN 43674) |
| 208000000X Pediatrics (Licence: FL ME139775) | |
| 2080P0204X Pediatrics, Pediatric Emergency Medicine (Licence: NJ MA079303) | |
| Enumeration Date | 2008-01-23 |
| Last Update Date | 2025-01-28 |