| NPI | 1093217861 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0204X Pediatrics, Pediatric Emergency Medicine (Licence: UT 13918039-1205) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: MN 74250) |
| Enumeration Date | 2018-03-07 |
| Last Update Date | 2024-04-25 |