| NPI | 1730193251 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: FL ME74810) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: TX K6711) |
| 207PP0204X Emergency Medicine, Pediatric Emergency Medicine (Licence: FL ME74810) | |
| Enumeration Date | 2006-07-28 |
| Last Update Date | 2013-09-09 |