| NPI | 1629462015 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0204X Pediatrics, Pediatric Emergency Medicine (Licence: FL 149461) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: NC 2018-00300) |
| Enumeration Date | 2015-03-24 |
| Last Update Date | 2021-08-24 |