| NPI | 1477815447 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0204X Pediatrics, Pediatric Emergency Medicine (Licence: NC 2017-00642) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: OH 35.124973) |
| 207P00000X Emergency Medicine (Licence: NC 2017-00642) | |
| 207PP0204X Emergency Medicine, Pediatric Emergency Medicine (Licence: NC 2017-00642) | |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2012-06-14 |
| Last Update Date | 2024-03-06 |