| NPI | 1801424650 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207PP0204X Emergency Medicine, Pediatric Emergency Medicine (Licence: KY 58151) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: KY 58151) |
| Enumeration Date | 2020-03-28 |
| Last Update Date | 2025-06-09 |