| NPI | 1760772453 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207PP0204X Emergency Medicine, Pediatric Emergency Medicine (Licence: NV 19133) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: NC 2016-01484) |
| Enumeration Date | 2011-04-14 |
| Last Update Date | 2024-05-07 |