| NPI | 1558723429 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0204X Pediatrics, Pediatric Emergency Medicine (Licence: VA 0101267326) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: VA 0101267326) |
| Enumeration Date | 2016-03-22 |
| Last Update Date | 2021-05-21 |