| NPI | 1518347798 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0204X Pediatrics, Pediatric Emergency Medicine (Licence: AZ 008413) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: AZ 008413) |
| 208000000X Pediatrics (Licence: NC 2018-00779) | |
| Enumeration Date | 2015-06-03 |
| Last Update Date | 2021-04-01 |