| NPI | 1790104669 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0204X Pediatrics, Pediatric Emergency Medicine (Licence: GA 78066) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: GA 78066) |
| Enumeration Date | 2014-04-08 |
| Last Update Date | 2020-07-17 |