| NPI | 1073018404 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0204X Pediatrics, Pediatric Emergency Medicine (Licence: KY 59098) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: MI 5101026068) |
| 208000000X Pediatrics (Licence: GA 010607) | |
| 208000000X Pediatrics (Licence: KY 59098) | |
| Enumeration Date | 2018-03-27 |
| Last Update Date | 2024-06-17 |