| NPI | 1699238865 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 2080P0204X Pediatrics, Pediatric Emergency Medicine (Licence: CA A179162) | 
| Additional Taxonomies | 208000000X Pediatrics (Licence: CA A179162) | 
| Enumeration Date | 2019-04-12 | 
| Last Update Date | 2025-08-26 |