| NPI | 1063615888 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208000000X Pediatrics (Licence: TX M9982) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: TX M9982) |
| Enumeration Date | 2007-06-08 |
| Last Update Date | 2025-10-16 |