| NPI | 1922430610 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207PP0204X Emergency Medicine, Pediatric Emergency Medicine (Licence: CA A141217) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: NJ 25MA09357600) |
| Enumeration Date | 2013-08-05 |
| Last Update Date | 2016-04-27 |