| NPI | 1629571062 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0204X Pediatrics, Pediatric Emergency Medicine (Licence: FL 9111144) |
| Additional Taxonomies | 2080P0204X Pediatrics, Pediatric Emergency Medicine (Licence: FL PA9111144) |
| 363A00000X Physician Assistant (Licence: FL 9111144) | |
| Enumeration Date | 2018-03-12 |
| Last Update Date | 2024-03-23 |