| NPI | 1518131440 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207PP0204X Emergency Medicine, Pediatric Emergency Medicine (Licence: FL ME135798) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: LA MD.204602) |
| 208000000X Pediatrics (Licence: MO 2011008003) | |
| 208000000X Pediatrics (Licence: KS 04-35132) | |
| Enumeration Date | 2008-04-22 |
| Last Update Date | 2021-03-26 |