| NPI | 1659683803 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0204X Pediatrics Pediatric Emergency Medicine (Licence: MO 2023000912) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: MO 2023000912) |
| Enumeration Date | 2010-07-03 |
| Last Update Date | 2024-04-25 |