| NPI | 1962794123 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207PP0204X Emergency Medicine, Pediatric Emergency Medicine (Licence: FL ME152148) |
| Additional Taxonomies | 207PP0204X Emergency Medicine, Pediatric Emergency Medicine (Licence: TX P9871) |
| 207PP0204X Emergency Medicine, Pediatric Emergency Medicine (Licence: IL 036.146295) | |
| 2080P0204X Pediatrics, Pediatric Emergency Medicine (Licence: TX P9871) | |
| Enumeration Date | 2011-05-06 |
| Last Update Date | 2023-09-26 |