| NPI | 1801060462 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2080P0204X Pediatrics, Pediatric Emergency Medicine (Licence: CA A105845) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: TX M9626) |
| Enumeration Date | 2008-04-15 |
| Last Update Date | 2022-07-29 |