| NPI | 1942664321 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0204X Pediatrics, Pediatric Emergency Medicine (Licence: MD H0100896) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: PA OT017318) |
| 208000000X Pediatrics (Licence: MD H0100896) | |
| 207P00000X Emergency Medicine (Licence: PA OS021679) | |
| 208000000X Pediatrics (Licence: DE C7-0006253) | |
| Enumeration Date | 2016-04-11 |
| Last Update Date | 2024-08-30 |