| NPI | 1730647298 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207PE0004X Emergency Medicine, Emergency Medical Services (Licence: AL PA.1437) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: AL PA.1437) |
| Enumeration Date | 2019-03-04 |
| Last Update Date | 2019-03-04 |