| NPI | 1871627406 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0204X Pediatrics, Pediatric Emergency Medicine (Licence: CO DR.0062082) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: OH 35124203) |
| 207P00000X Emergency Medicine (Licence: MN 53370) | |
| Enumeration Date | 2007-03-15 |
| Last Update Date | 2019-08-16 |