| NPI | 1942635925 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: DE c10012582) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: CA A126894) |
| Enumeration Date | 2013-09-09 |
| Last Update Date | 2020-01-09 |