| NPI | 1023377769 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0204X Pediatrics, Pediatric Emergency Medicine (Licence: KY 56472) |
| Additional Taxonomies | 207PP0204X Emergency Medicine, Pediatric Emergency Medicine (Licence: KY 56472) |
| 208000000X Pediatrics (Licence: MO 2015029488) | |
| 2080P0204X Pediatrics, Pediatric Emergency Medicine (Licence: MO 2015029488) | |
| Enumeration Date | 2012-05-15 |
| Last Update Date | 2023-12-14 |