| NPI | 1114213683 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0204X Pediatrics, Pediatric Emergency Medicine (Licence: RI MD15960) |
| Additional Taxonomies | 2080P0204X Pediatrics, Pediatric Emergency Medicine (Licence: RI LP03404) |
| 207PP0204X Emergency Medicine, Pediatric Emergency Medicine (Licence: RI MD15960) | |
| Enumeration Date | 2011-06-23 |
| Last Update Date | 2020-03-09 |