| NPI | 1376890400 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207PP0204X Emergency Medicine, Pediatric Emergency Medicine (Licence: WA 61683146) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: IL 125062398) |
| Enumeration Date | 2012-08-08 |
| Last Update Date | 2025-05-05 |