| NPI | 1710449988 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: MO 2022026680) |
| Additional Taxonomies | 207PP0204X Emergency Medicine Pediatric Emergency Medicine (Licence: MO 2022026680) |
| Enumeration Date | 2019-04-04 |
| Last Update Date | 2024-07-02 |