| NPI | 1760479919 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207PP0204X Emergency Medicine, Pediatric Emergency Medicine (Licence: AZ 44863) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: AL MD.18514) |
| 208000000X Pediatrics (Licence: AL MD.18514) | |
| 207P00000X Emergency Medicine (Licence: AZ 44863) | |
| 208000000X Pediatrics (Licence: AZ 44863) | |
| 2080P0204X Pediatrics, Pediatric Emergency Medicine (Licence: AZ 44863) | |
| Enumeration Date | 2005-10-03 |
| Last Update Date | 2016-01-08 |