| NPI | 1912174657 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208000000X Pediatrics (Licence: TN MD0000044805) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: TN 44805) |
| 208000000X Pediatrics (Licence: TN MD44805) | |
| Enumeration Date | 2008-05-12 |
| Last Update Date | 2016-08-15 |