| NPI | 1710449988 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0204X Pediatrics, Pediatric Emergency Medicine (Licence: GA 105601) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: MO 2022026680) |
| 207PP0204X Emergency Medicine, Pediatric Emergency Medicine (Licence: MO 2022026680) | |
| Enumeration Date | 2019-04-04 |
| Last Update Date | 2025-10-27 |