| NPI | 1962661504 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: MI 4301085350) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: MI 4301085350) |
| 2080P0204X Pediatrics, Pediatric Emergency Medicine (Licence: DC MD039560) | |
| Enumeration Date | 2008-06-09 |
| Last Update Date | 2018-05-30 |