| NPI | 1073706818 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 2080P0204X Pediatrics, Pediatric Emergency Medicine (Licence: MA 233617)  | 
| Additional Taxonomies | 208000000X Pediatrics (Licence: MA 233617)  | 
| Enumeration Date | 2007-08-24 | 
| Last Update Date | 2014-07-17 |