| NPI | 1104484625 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207PP0204X Emergency Medicine, Pediatric Emergency Medicine (Licence: DC MD210002077) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: MI 4351045097) |
| Enumeration Date | 2019-05-30 |
| Last Update Date | 2022-04-13 |