| NPI | 1639372857 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207PP0204X Emergency Medicine, Pediatric Emergency Medicine (Licence: WA MD60253997) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: MI 4301090330) |
| Enumeration Date | 2007-06-06 |
| Last Update Date | 2013-11-27 |