| NPI | 1659786820 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0204X Pediatrics, Pediatric Emergency Medicine (Licence: IA DO-04958) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: IA DO-04958) |
| 208000000X Pediatrics (Licence: IA R-10134) | |
| Enumeration Date | 2014-06-26 |
| Last Update Date | 2024-06-04 |