| NPI | 1790772515 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0204X Pediatrics, Pediatric Emergency Medicine (Licence: AL MD.22302) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: AL MD.22302) |
| 207P00000X Emergency Medicine (Licence: AL MD.22302) | |
| Enumeration Date | 2005-10-06 |
| Last Update Date | 2022-03-04 |