| NPI | 1932376365 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207PP0204X Emergency Medicine, Pediatric Emergency Medicine (Licence: MI 4301100423) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: MI 4301100423) |
| 208000000X Pediatrics (Licence: MA 234957) | |
| 208000000X Pediatrics (Licence: PA MD436641) | |
| 208000000X Pediatrics (Licence: MI 4301100423) | |
| Enumeration Date | 2008-05-14 |
| Last Update Date | 2019-12-17 |