| NPI | 1245679646 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: MI 4301103609) | 
| Additional Taxonomies | 207PP0204X Emergency Medicine, Pediatric Emergency Medicine (Licence: MI 4301103609) | 
| 208000000X Pediatrics (Licence: MI 4301103609) | |
| Enumeration Date | 2013-06-19 | 
| Last Update Date | 2019-03-08 |