| NPI | 1295087153 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0204X Pediatrics, Pediatric Emergency Medicine (Licence: RI MD14696) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: RI MD14696) |
| 208000000X Pediatrics (Licence: CA A 122810) | |
| 2080P0204X Pediatrics, Pediatric Emergency Medicine (Licence: NY 289365) | |
| Enumeration Date | 2012-10-02 |
| Last Update Date | 2022-12-09 |