| NPI | 1164819975 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 2080P0204X Pediatrics, Pediatric Emergency Medicine (Licence: PA MD486232)  | 
| Additional Taxonomies | 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 | 2025-06-16 |