| NPI | 1205026325 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0204X Pediatrics, Pediatric Emergency Medicine (Licence: MA 235800) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: PA MD431978) |
| 208000000X Pediatrics (Licence: MA 235800) | |
| Enumeration Date | 2007-07-25 |
| Last Update Date | 2015-04-29 |