| NPI | 1477058048 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0204X Pediatrics, Pediatric Emergency Medicine (Licence: MA 1013996) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: TX T1397) |
| Enumeration Date | 2018-03-27 |
| Last Update Date | 2023-07-14 |