| NPI | 1285633925 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208000000X Pediatrics (Licence: KY 60315) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: TN MD33808) |
| 207P00000X Emergency Medicine (Licence: TN MD0000033808) | |
| Enumeration Date | 2005-07-15 |
| Last Update Date | 2025-01-03 |