| NPI | 1649776469 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: NC 2021-01806) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: MD D0099966) |
| 2080P0204X Pediatrics, Pediatric Emergency Medicine (Licence: MD D0099966) | |
| 2080P0204X Pediatrics, Pediatric Emergency Medicine (Licence: NC 2021-01806) | |
| Enumeration Date | 2018-04-02 |
| Last Update Date | 2024-04-12 |