| NPI | 1265961916 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207PP0204X Emergency Medicine, Pediatric Emergency Medicine (Licence: VA 0102206138) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: PA OT017681) |
| Enumeration Date | 2017-06-07 |
| Last Update Date | 2021-08-04 |