| NPI | 1861197535 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208000000X Pediatrics (Licence: SC LL89909) |
| Additional Taxonomies | 2080P0204X Pediatrics, Pediatric Emergency Medicine (Licence: PA OT025635) |
| Enumeration Date | 2023-04-03 |
| Last Update Date | 2026-09-20 |