| NPI | 1275790958 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: RI MD13276) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: NY 247472) |
| 207PP0204X Emergency Medicine, Pediatric Emergency Medicine (Licence: RI MD13276) | |
| 207P00000X Emergency Medicine (Licence: CT 52132) | |
| Enumeration Date | 2008-05-20 |
| Last Update Date | 2013-07-09 |