| NPI | 1417418112 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0204X Pediatrics, Pediatric Emergency Medicine (Licence: TX V9918) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: MI 4301507119) |
| Enumeration Date | 2019-03-26 |
| Last Update Date | 2025-10-10 |