| NPI | 1124476908 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 2080P0204X Pediatrics, Pediatric Emergency Medicine (Licence: NC 2020-01057)  | 
| Additional Taxonomies | 208000000X Pediatrics (Licence: NC 2020-01057)  | 
| 2080P0203X Pediatrics, Pediatric Critical Care Medicine (Licence: NC 2020-01057)  | |
| Enumeration Date | 2016-06-02 | 
| Last Update Date | 2023-08-01 |