| NPI | 1164819975 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0204X Pediatrics, Pediatric Emergency Medicine (Licence: GA 103794) |
| Additional Taxonomies | 2080P0204X Pediatrics, Pediatric Emergency Medicine (Licence: PA MD486232) |
| 207PP0204X Emergency Medicine, Pediatric Emergency Medicine (Licence: PA MD486232) | |
| 2080P0204X Pediatrics, Pediatric Emergency Medicine (Licence: TX R6641) | |
| Enumeration Date | 2015-04-20 |
| Last Update Date | 2026-04-03 |