| NPI | 1629311477 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: WA MD.61142499) |
| Additional Taxonomies | 207PP0204X Emergency Medicine, Pediatric Emergency Medicine (Licence: WI 63489) |
| 207PP0204X Emergency Medicine, Pediatric Emergency Medicine (Licence: WA MD61142499) | |
| Enumeration Date | 2013-03-30 |
| Last Update Date | 2021-06-24 |