| NPI | 1912431198 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0204X Pediatrics, Pediatric Emergency Medicine (Licence: KY 53424) |
| Additional Taxonomies | 2080P0204X Pediatrics, Pediatric Emergency Medicine (Licence: GA 95482) |
| 208000000X Pediatrics (Licence: GA 95482) | |
| Enumeration Date | 2017-04-14 |
| Last Update Date | 2025-11-04 |