| NPI | 1942285507 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207PP0204X Emergency Medicine, Pediatric Emergency Medicine (Licence: CA A52709) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: KY 33113) |
| 2080P0204X Pediatrics, Pediatric Emergency Medicine (Licence: KY 33113) | |
| 2080P0204X Pediatrics, Pediatric Emergency Medicine (Licence: LA 202409) | |
| 208000000X Pediatrics (Licence: LA 202409) | |
| Enumeration Date | 2005-12-07 |
| Last Update Date | 2013-12-05 |