| NPI | 1396325783 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2080P0204X Pediatrics, Pediatric Emergency Medicine (Licence: LA 346082) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: TN 71420) |
| Enumeration Date | 2021-04-10 |
| Last Update Date | 2025-07-16 |