| NPI | 1184915233 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2080P0204X Pediatrics, Pediatric Emergency Medicine (Licence: MA 262518) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: MA 262518) |
| Enumeration Date | 2011-04-25 |
| Last Update Date | 2018-06-06 |