| NPI | 1063808053 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208000000X Pediatrics (Licence: VA 0102205213) |
| Additional Taxonomies | 2080P0204X Pediatrics, Pediatric Emergency Medicine (Licence: VA 01202205213) |
| Enumeration Date | 2015-04-07 |
| Last Update Date | 2021-11-09 |