| NPI | 1619331477 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207PP0204X Emergency Medicine, Pediatric Emergency Medicine (Licence: GA 103298) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: VA 0101266690) |
| 207P00000X Emergency Medicine (Licence: GA 103298) | |
| 207PP0204X Emergency Medicine, Pediatric Emergency Medicine (Licence: VA 0101266690) | |
| Enumeration Date | 2016-04-07 |
| Last Update Date | 2025-06-09 |