| NPI | 1609339613 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2080P0204X Pediatrics, Pediatric Emergency Medicine (Licence: AL MD.44060) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: AL MD.44060) |
| Enumeration Date | 2019-04-08 |
| Last Update Date | 2022-05-13 |