| NPI | 1295735454 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207PP0204X Emergency Medicine, Pediatric Emergency Medicine (Licence: TN 39003) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MS 19274) |
| 208000000X Pediatrics (Licence: MS 19274) | |
| Enumeration Date | 2005-07-28 |
| Last Update Date | 2007-07-08 |