| NPI | 1639151509 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207PP0204X Emergency Medicine, Pediatric Emergency Medicine (Licence: IA 25576) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: IA 25576) |
| Enumeration Date | 2005-11-16 |
| Last Update Date | 2008-11-25 |