| NPI | 1063830396 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0204X Pediatrics, Pediatric Emergency Medicine (Licence: MA 1014461) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: NY 303791) |
| 208000000X Pediatrics (Licence: PA MD461396) | |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2014-04-03 |
| Last Update Date | 2023-07-06 |