| NPI | 1881008530 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207PP0204X Emergency Medicine Pediatric Emergency Medicine (Licence: KY 52604) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: AZ R74387) |
| 207PE0004X Emergency Medicine Emergency Medical Services (Licence: KY 52604) | |
| Enumeration Date | 2014-06-19 |
| Last Update Date | 2019-09-03 |