| NPI | 1750947115 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0204X Pediatrics, Pediatric Emergency Medicine (Licence: GA 104540) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: CT 72106) |
| Enumeration Date | 2019-05-11 |
| Last Update Date | 2025-07-23 |