| NPI | 1316430036 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0204X Pediatrics Pediatric Emergency Medicine (Licence: AZ 72853) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: AZ 72853) |
| Enumeration Date | 2018-06-07 |
| Last Update Date | 2024-07-31 |