| NPI | 1578181228 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2080P0204X Pediatrics, Pediatric Emergency Medicine (Licence: MO 2023013136) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: MO 2020019024) |
| Enumeration Date | 2020-07-09 |
| Last Update Date | 2025-06-19 |