| NPI | 1295095149 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207PP0204X Emergency Medicine, Pediatric Emergency Medicine (Licence: TN MD51209) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program (Licence: FL ME109771) |
| 2080P0204X Pediatrics, Pediatric Emergency Medicine (Licence: FL ME109771) | |
| 2080P0204X Pediatrics, Pediatric Emergency Medicine (Licence: TN MD51209) | |
| Enumeration Date | 2012-05-25 |
| Last Update Date | 2022-03-21 |