| NPI | 1306821467 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: PA MD482983) |
| Additional Taxonomies | 2080P0204X Pediatrics Pediatric Emergency Medicine (Licence: KY 38148) |
| 208000000X Pediatrics (Licence: KY 38148) | |
| Enumeration Date | 2005-12-13 |
| Last Update Date | 2024-10-03 |