| NPI | 1063806065 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0204X Pediatrics, Pediatric Emergency Medicine (Licence: CA A171851) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: CA A171851) |
| 208000000X Pediatrics (Licence: NY 285869-1) | |
| Enumeration Date | 2015-03-27 |
| Last Update Date | 2023-08-04 |