| NPI | 1053395467 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0204X Pediatrics, Pediatric Emergency Medicine (Licence: FL ME122063) |
| Additional Taxonomies | 2080P0204X Pediatrics, Pediatric Emergency Medicine (Licence: OH 35.132313) |
| 208000000X Pediatrics (Licence: KY 36957) | |
| 2080P0204X Pediatrics, Pediatric Emergency Medicine (Licence: KY 36957) | |
| Enumeration Date | 2005-11-30 |
| Last Update Date | 2023-10-16 |