| NPI | 1851416028 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0204X Pediatrics, Pediatric Emergency Medicine (Licence: WA Md60147265) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: CA A95584) |
| Enumeration Date | 2007-03-20 |
| Last Update Date | 2023-12-08 |