| NPI | 1477728053 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2080P0204X Pediatrics, Pediatric Emergency Medicine (Licence: TN MD44777) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: FL ME93150) |
| 2080P0204X Pediatrics, Pediatric Emergency Medicine (Licence: FL ME93150) | |
| 207P00000X Emergency Medicine (Licence: TN 44777) | |
| Enumeration Date | 2008-04-24 |
| Last Update Date | 2015-04-24 |