| NPI | 1881191963 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0204X Pediatrics, Pediatric Emergency Medicine (Licence: MD D0104953) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: VA 0116031236) |
| 2080P0204X Pediatrics, Pediatric Emergency Medicine (Licence: TX V3646) | |
| Enumeration Date | 2018-04-06 |
| Last Update Date | 2025-11-05 |