| NPI | 1275162273 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207PP0204X Emergency Medicine, Pediatric Emergency Medicine (Licence: CT 85448) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: DE C1-0026280) |
| Enumeration Date | 2020-04-02 |
| Last Update Date | 2026-06-16 |