| NPI | 1205865045 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: FL ME96031) |
| Additional Taxonomies | 207PP0204X Emergency Medicine Pediatric Emergency Medicine (Licence: FL ME96031) |
| Enumeration Date | 2006-07-02 |
| Last Update Date | 2023-06-30 |