| NPI | 1871980524 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: WA MD61135938) |
| Additional Taxonomies | 2080P0204X Pediatrics, Pediatric Emergency Medicine (Licence: NM MD2018-0448) |
| Enumeration Date | 2015-04-21 |
| Last Update Date | 2023-07-13 |