| NPI | 1588158778 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0204X Pediatrics, Pediatric Emergency Medicine (Licence: TX T0956) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: IL 125.072219) |
| Enumeration Date | 2018-06-20 |
| Last Update Date | 2024-12-17 |