| NPI | 1568157477 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2080P0204X Pediatrics, Pediatric Emergency Medicine (Licence: MO 2026038672) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
| 2080P0204X Pediatrics, Pediatric Emergency Medicine (Licence: KS 04-53868) | |
| Enumeration Date | 2023-04-06 |
| Last Update Date | 2026-08-20 |