| NPI | 1114339512 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0204X Pediatrics Pediatric Emergency Medicine (Licence: AZ 55974) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: AZ 55974) |
| Enumeration Date | 2014-05-20 |
| Last Update Date | 2022-04-08 |