| NPI | 1487001467 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207PP0204X Emergency Medicine Pediatric Emergency Medicine (Licence: IN 01082349A) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: RI LP03669) |
| Enumeration Date | 2016-05-19 |
| Last Update Date | 2019-06-25 |