| NPI | 1053559732 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2080P0204X Pediatrics, Pediatric Emergency Medicine (Licence: AZ 41517) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: CA A106141) |
| 208000000X Pediatrics (Licence: NY 262062) | |
| 2080P0204X Pediatrics, Pediatric Emergency Medicine (Licence: CA A106141) | |
| 2080P0204X Pediatrics, Pediatric Emergency Medicine (Licence: NY 262062) | |
| Enumeration Date | 2009-02-03 |
| Last Update Date | 2023-07-31 |