| NPI | 1972504355 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: FL ME99702) |
| Additional Taxonomies | 2080P0203X Pediatrics, Pediatric Critical Care Medicine (Licence: MD D67938) |
| 2080P0204X Pediatrics, Pediatric Emergency Medicine (Licence: MD D67938) | |
| Enumeration Date | 2005-08-09 |
| Last Update Date | 2020-03-02 |