| NPI | 1417261967 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0204X Pediatrics, Pediatric Emergency Medicine (Licence: MO 2013018492) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: MO 2013018492) |
| Enumeration Date | 2010-07-27 |
| Last Update Date | 2025-04-17 |