| NPI | 1366761959 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207PP0204X Emergency Medicine, Pediatric Emergency Medicine (Licence: CA A126241) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: CA A126241) |
| 207P00000X Emergency Medicine (Licence: MA 269764) | |
| 207PP0204X Emergency Medicine, Pediatric Emergency Medicine (Licence: MA 269764) | |
| Enumeration Date | 2010-05-22 |
| Last Update Date | 2019-11-08 |