| NPI | 1982090163 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0204X Pediatrics, Pediatric Emergency Medicine (Licence: WA MD61030905) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: NY 290247) |
| 2080P0204X Pediatrics, Pediatric Emergency Medicine (Licence: NY 290247) | |
| Enumeration Date | 2015-04-14 |
| Last Update Date | 2024-03-13 |