| NPI | 1285810531 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0204X Pediatrics, Pediatric Emergency Medicine (Licence: NH 15275) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: RI MD12673) |
| Enumeration Date | 2008-01-17 |
| Last Update Date | 2011-07-09 |