| NPI | 1124099296 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2080P0204X Pediatrics Pediatric Emergency Medicine (Licence: PR 14024) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: PR 14024) |
| Enumeration Date | 2006-01-27 |
| Last Update Date | 2023-02-20 |