| NPI | 1023469376 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0204X Pediatrics, Pediatric Emergency Medicine (Licence: NC RTL) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: WV 28282) |
| 208000000X Pediatrics (Licence: AZ 58797) | |
| Enumeration Date | 2016-06-28 |
| Last Update Date | 2021-06-24 |