| NPI | 1235338385 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0204X Pediatrics, Pediatric Emergency Medicine (Licence: VA 0101255281) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: VA 0101255281) |
| 208000000X Pediatrics (Licence: TX N5757) | |
| 2080P0204X Pediatrics, Pediatric Emergency Medicine (Licence: WV 34113) | |
| Enumeration Date | 2007-07-17 |
| Last Update Date | 2024-08-30 |