| NPI | 1801896022 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: VA 0101052591) |
| Additional Taxonomies | 207PP0204X Emergency Medicine, Pediatric Emergency Medicine (Licence: TN 27331) |
| 207PP0204X Emergency Medicine, Pediatric Emergency Medicine (Licence: NC 9401227) | |
| Enumeration Date | 2005-07-29 |
| Last Update Date | 2017-02-10 |