| NPI | 1528084019 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207PP0204X Emergency Medicine, Pediatric Emergency Medicine (Licence: TX N9292) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: TN 0000039408) |
| Enumeration Date | 2006-07-15 |
| Last Update Date | 2011-04-18 |