| NPI | 1912023367 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: TX J8527) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: TX J8527) |
| 207PP0204X Emergency Medicine, Pediatric Emergency Medicine (Licence: TX J8527) | |
| Enumeration Date | 2007-03-21 |
| Last Update Date | 2021-01-08 |