| NPI | 1275534588 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: AL MD.28119) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: PA MD422857) |
| 208000000X Pediatrics (Licence: AL MD.28119) | |
| 2080P0204X Pediatrics Pediatric Emergency Medicine (Licence: SC 33590) | |
| 2080P0204X Pediatrics Pediatric Emergency Medicine (Licence: TN 051405) | |
| Enumeration Date | 2005-08-09 |
| Last Update Date | 2014-10-10 |