| NPI | 1720649445 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0204X Pediatrics, Pediatric Emergency Medicine (Licence: MO 2022018900) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: MO 2022018900) |
| Enumeration Date | 2019-06-24 |
| Last Update Date | 2024-08-08 |