| NPI | 1063487569 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0204X Pediatrics, Pediatric Emergency Medicine (Licence: MA 77454) |
| Additional Taxonomies | 2080P0204X Pediatrics, Pediatric Emergency Medicine (Licence: CT 037192) |
| 208000000X Pediatrics (Licence: MA 77454) | |
| Enumeration Date | 2006-02-20 |
| Last Update Date | 2014-07-22 |