| NPI | 1851525109 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0204X Pediatrics Pediatric Emergency Medicine (Licence: TN 54004) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: WI 60669) |
| 208000000X Pediatrics (Licence: OH 35-099837) | |
| 2080P0204X Pediatrics Pediatric Emergency Medicine (Licence: WI 60669) | |
| Enumeration Date | 2009-05-14 |
| Last Update Date | 2022-03-25 |