| NPI | 1528622040 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207PP0204X Emergency Medicine, Pediatric Emergency Medicine (Licence: PA OS024450) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: VA 0102207059) |
| 207PP0204X Emergency Medicine, Pediatric Emergency Medicine (Licence: VA 0102207059) | |
| 208000000X Pediatrics (Licence: SC LL82159) | |
| 208000000X Pediatrics (Licence: VA 0102207059) | |
| Enumeration Date | 2019-04-30 |
| Last Update Date | 2025-06-09 |