| NPI | 1639259997 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0204X Pediatrics, Pediatric Emergency Medicine (Licence: CA C191942) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: CA C191942) |
| 2080P0204X Pediatrics, Pediatric Emergency Medicine (Licence: TX J9888) | |
| Enumeration Date | 2006-10-17 |
| Last Update Date | 2024-03-22 |