| NPI | 1336589829 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2080P0204X Pediatrics, Pediatric Emergency Medicine (Licence: VA 0101260247) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: VA 0101260247) |
| 207PP0204X Emergency Medicine, Pediatric Emergency Medicine (Licence: VA 0101260247) | |
| Enumeration Date | 2013-06-27 |
| Last Update Date | 2020-10-14 |