| NPI | 1841215613 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 208000000X Pediatrics (Licence: CA A66209)  | 
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: CA A66209)  | 
| 207PP0204X Emergency Medicine, Pediatric Emergency Medicine (Licence: TX N6326)  | |
| 208000000X Pediatrics (Licence: OK 24883)  | |
| 2080C0008X Pediatrics, Child Abuse Pediatrics (Licence: CA A66209)  | |
| Enumeration Date | 2006-07-13 | 
| Last Update Date | 2021-06-07 |