| NPI | 1811228562 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207PP0204X Emergency Medicine, Pediatric Emergency Medicine (Licence: VA 0101257775) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: VA 0101257775) |
| Enumeration Date | 2010-01-20 |
| Last Update Date | 2020-05-10 |