| NPI | 1821592007 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2080P0204X Pediatrics, Pediatric Emergency Medicine (Licence: MA 286905) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: MA 286905) |
| Enumeration Date | 2018-03-21 |
| Last Update Date | 2025-07-08 |