| NPI | 1972892578 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: TN 57358) |
| Additional Taxonomies | 2080P0204X Pediatrics Pediatric Emergency Medicine (Licence: TX P9753) |
| Enumeration Date | 2011-04-04 |
| Last Update Date | 2018-07-03 |