| NPI | 1184913162 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0204X Pediatrics, Pediatric Emergency Medicine (Licence: KY 50795) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: KY 50795) |
| 207PP0204X Emergency Medicine, Pediatric Emergency Medicine (Licence: KY 50795) | |
| Enumeration Date | 2011-03-30 |
| Last Update Date | 2026-01-16 |