| NPI | 1457764284 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207PP0204X Emergency Medicine, Pediatric Emergency Medicine (Licence: MA 291355) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: CA A149580) |
| 2080P0204X Pediatrics, Pediatric Emergency Medicine (Licence: CO DR.0064589) | |
| Enumeration Date | 2014-06-10 |
| Last Update Date | 2022-04-19 |