| NPI | 1902915572 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: MD D0085345) |
| Additional Taxonomies | 2080P0204X Pediatrics, Pediatric Emergency Medicine (Licence: MD D0085345) |
| 225100000X Physical Therapist (Licence: FL PT22165) | |
| Enumeration Date | 2006-08-29 |
| Last Update Date | 2019-04-03 |