| NPI | 1467958363 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2080P0204X Pediatrics, Pediatric Emergency Medicine (Licence: PA MT225041) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: CA A163418) |
| Enumeration Date | 2018-04-01 |
| Last Update Date | 2024-01-08 |