| NPI | 1659490266 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0204X Pediatrics, Pediatric Emergency Medicine (Licence: KY 44241) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: KY 44241) |
| Enumeration Date | 2007-03-28 |
| Last Update Date | 2014-09-04 |