| NPI | 1841382256 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080S0010X Pediatrics, Sports Medicine (Licence: TN MD24802) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: TN MD24802) |
| 2080P0204X Pediatrics, Pediatric Emergency Medicine (Licence: TN MD24802) | |
| Enumeration Date | 2006-09-30 |
| Last Update Date | 2019-03-29 |