| NPI | 1659371409 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207PP0204X Emergency Medicine, Pediatric Emergency Medicine (Licence: LA 026336) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: LA 026336) |
| Enumeration Date | 2005-07-22 |
| Last Update Date | 2021-06-04 |