| NPI | 1801250501 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207PP0204X Emergency Medicine, Pediatric Emergency Medicine (Licence: TN 57932) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: TN 57932) |
| Enumeration Date | 2016-04-08 |
| Last Update Date | 2023-11-06 |