| NPI | 1063456655 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0204X Pediatrics, Pediatric Emergency Medicine (Licence: MA 73042) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: MA 73042) |
| Enumeration Date | 2006-06-15 |
| Last Update Date | 2013-08-14 |