| NPI | 1689305989 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2080P0204X Pediatrics, Pediatric Emergency Medicine (Licence: GA 11425) |
| Additional Taxonomies | 363A00000X Physician Assistant |
| Enumeration Date | 2022-06-19 |
| Last Update Date | 2024-10-04 |