| NPI | 1881678290 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207PP0204X Emergency Medicine, Pediatric Emergency Medicine (Licence: FL ME91339) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: KY 38856) |
| Enumeration Date | 2005-11-30 |
| Last Update Date | 2023-08-25 |