| NPI | 1942047295 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2080P0204X Pediatrics, Pediatric Emergency Medicine (Licence: MD R202717) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: MD R202717) |
| 163WP0200X Registered Nurse, Pediatrics (Licence: MD R202717) | |
| Enumeration Date | 2024-07-12 |
| Last Update Date | 2024-08-28 |