| NPI | 1417131756 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: CT 056421) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: PA MD437458) |
| Enumeration Date | 2007-12-21 |
| Last Update Date | 2019-02-25 |