| NPI | 1821589359 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2080P0204X Pediatrics Pediatric Emergency Medicine (Licence: VA 0102206692) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: VA 0102206692) |
| Enumeration Date | 2018-05-21 |
| Last Update Date | 2025-06-24 |