| NPI | 1023679693 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0204X Pediatrics, Pediatric Emergency Medicine (Licence: TX V7199) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: TX V7199) |
| 208000000X Pediatrics (Licence: CA PTL2046) | |
| Enumeration Date | 2019-06-25 |
| Last Update Date | 2025-03-24 |