| NPI | 1063828267 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207PP0204X Emergency Medicine, Pediatric Emergency Medicine (Licence: FL ME143122) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: MI 4301113019) |
| Enumeration Date | 2014-07-08 |
| Last Update Date | 2022-12-23 |