| NPI | 1912340910 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0204X Pediatrics, Pediatric Emergency Medicine (Licence: LA 326610) |
| Additional Taxonomies | 207PP0204X Emergency Medicine, Pediatric Emergency Medicine (Licence: TN 54756) |
| 208000000X Pediatrics (Licence: TN 54756) | |
| 2080P0204X Pediatrics, Pediatric Emergency Medicine (Licence: TN 54756) | |
| Enumeration Date | 2013-04-10 |
| Last Update Date | 2021-06-10 |