| NPI | 1548580640 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: TX T4474) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: PA MT-198075) |
| 2080P0204X Pediatrics, Pediatric Emergency Medicine (Licence: PA MD449242) | |
| 2080P0204X Pediatrics, Pediatric Emergency Medicine (Licence: IL 036.135037) | |
| Enumeration Date | 2010-06-11 |
| Last Update Date | 2022-06-08 |