| NPI | 1609230879 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0204X Pediatrics, Pediatric Emergency Medicine (Licence: FL ME156403) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: TX S1433) |
| Enumeration Date | 2016-04-13 |
| Last Update Date | 2023-03-08 |