| NPI | 1275563215 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: MT 10714) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: FL ME0054086) |
| Enumeration Date | 2006-07-04 |
| Last Update Date | 2011-08-15 |