| NPI | 1912074188 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: FL ME129224) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: MD D77713) |
| Enumeration Date | 2006-11-30 |
| Last Update Date | 2016-12-16 |