| NPI | 1952717159 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0204X Pediatrics, Pediatric Emergency Medicine (Licence: LA 305649) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: LA 305649) |
| 208000000X Pediatrics (Licence: LA PGY.202400) | |
| Enumeration Date | 2014-07-08 |
| Last Update Date | 2022-01-05 |