| NPI | 1972178010 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0204X Pediatrics, Pediatric Emergency Medicine (Licence: TN 6358) |
| Additional Taxonomies | 208D00000X General Practice (Licence: PA OT020650) |
| Enumeration Date | 2021-05-21 |
| Last Update Date | 2025-10-21 |