| NPI | 1295115061 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: WA MD70063083) |
| Additional Taxonomies | 2080P0204X Pediatrics, Pediatric Emergency Medicine (Licence: GA 80670) |
| Enumeration Date | 2015-06-05 |
| Last Update Date | 2026-02-11 |