| NPI | 1194811158 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2080P0204X Pediatrics, Pediatric Emergency Medicine (Licence: FL ME117952) |
| Additional Taxonomies | 2080P0204X Pediatrics, Pediatric Emergency Medicine (Licence: DC MD036205) |
| 208000000X Pediatrics (Licence: GA 064250) | |
| Enumeration Date | 2006-10-05 |
| Last Update Date | 2014-04-14 |