| NPI | 1679935647 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0204X Pediatrics, Pediatric Emergency Medicine (Licence: MO 2019023773) |
| Additional Taxonomies | 2080P0204X Pediatrics, Pediatric Emergency Medicine (Licence: KS 04-48105) |
| 208000000X Pediatrics (Licence: KS 04-48105) | |
| 208000000X Pediatrics (Licence: MO 2019023773) | |
| Enumeration Date | 2016-03-28 |
| Last Update Date | 2025-12-02 |