| NPI | 1275777526 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0204X Pediatrics, Pediatric Emergency Medicine (Licence: TN MD0000053462) |
| Additional Taxonomies | 2080P0204X Pediatrics, Pediatric Emergency Medicine (Licence: UT 8356596-1205) |
| Enumeration Date | 2009-04-29 |
| Last Update Date | 2020-01-23 |