| NPI | 1396208906 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0204X Pediatrics, Pediatric Emergency Medicine (Licence: OK 39657) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: KS 94-10019) |
| 208000000X Pediatrics (Licence: MO 2019022811) | |
| Enumeration Date | 2019-04-10 |
| Last Update Date | 2022-05-16 |