| NPI | 1376748459 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207PP0204X Emergency Medicine, Pediatric Emergency Medicine (Licence: OR MD154709) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: PA MT190142) |
| 208000000X Pediatrics (Licence: PA MD439676) | |
| 208000000X Pediatrics (Licence: OR MD154709) | |
| Enumeration Date | 2007-06-18 |
| Last Update Date | 2024-05-09 |