| NPI | 1649558719 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0204X Pediatrics, Pediatric Emergency Medicine (Licence: PR 18742) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: PR 18742) |
| 208000000X Pediatrics (Licence: KY 48877) | |
| Enumeration Date | 2011-07-23 |
| Last Update Date | 2024-09-10 |