| NPI | 1821482035 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207PP0204X Emergency Medicine, Pediatric Emergency Medicine (Licence: WA MD60824913) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: WA MD60824913) |
| 2080C0008X Pediatrics, Child Abuse Pediatrics (Licence: WA MD60824913) | |
| Enumeration Date | 2015-03-25 |
| Last Update Date | 2024-09-06 |