| NPI | 1902241219 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0204X Pediatrics, Pediatric Emergency Medicine (Licence: AZ 006948) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: AZ 006948) |
| Enumeration Date | 2013-05-01 |
| Last Update Date | 2022-09-23 |