| NPI | 1780764118 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: TX M2091) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: TX M2091) |
| 207PP0204X Emergency Medicine, Pediatric Emergency Medicine (Licence: TX M2091) | |
| Enumeration Date | 2006-10-17 |
| Last Update Date | 2016-09-26 |