| NPI | 1558618173 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0204X Pediatrics, Pediatric Emergency Medicine (Licence: LA 320335) |
| Additional Taxonomies | 2080P0204X Pediatrics, Pediatric Emergency Medicine (Licence: FL 154525) |
| 208000000X Pediatrics (Licence: FL ME154525) | |
| Enumeration Date | 2012-08-14 |
| Last Update Date | 2025-09-24 |