| NPI | 1609836410 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: MI 4301038366) |
| Additional Taxonomies | 207PE0004X Emergency Medicine, Emergency Medical Services (Licence: MI 4301038366) |
| 208000000X Pediatrics (Licence: MI 4301038366) | |
| 2080P0204X Pediatrics, Pediatric Emergency Medicine (Licence: MI 4301038366) | |
| Enumeration Date | 2006-03-24 |
| Last Update Date | 2007-07-08 |