| NPI | 1558599530 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: MI 4301106741) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: VA 0101251698) |
| Enumeration Date | 2009-06-29 |
| Last Update Date | 2021-12-16 |