| NPI | 1770162703 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207PP0204X Emergency Medicine, Pediatric Emergency Medicine (Licence: AR E-18038) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: AR E-18038) |
| Enumeration Date | 2021-04-06 |
| Last Update Date | 2025-09-19 |