| NPI | 1679992630 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0204X Pediatrics, Pediatric Emergency Medicine (Licence: AL MD.42263) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: TN 0000055985) |
| 208000000X Pediatrics (Licence: TN 55985) | |
| Enumeration Date | 2014-04-07 |
| Last Update Date | 2021-04-24 |