| NPI | 1043605819 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0204X Pediatrics, Pediatric Emergency Medicine (Licence: PA MD474844) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: MI 4301115728) |
| Enumeration Date | 2015-03-30 |
| Last Update Date | 2021-09-14 |