| NPI | 1952044141 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0204X Pediatrics, Pediatric Emergency Medicine (Licence: UT 14282050-1205) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: SC MMD.90192) |
| Enumeration Date | 2022-04-15 |
| Last Update Date | 2026-07-14 |