| NPI | 1306933437 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0204X Pediatrics, Pediatric Emergency Medicine (Licence: WA MD00049308) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: TN MD39861) |
| Enumeration Date | 2006-10-09 |
| Last Update Date | 2014-01-08 |