| NPI | 1356652812 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 2080P0204X Pediatrics, Pediatric Emergency Medicine (Licence: FL ME133143)  | 
| Additional Taxonomies | 2080P0204X Pediatrics, Pediatric Emergency Medicine (Licence: NJ 25MA09795300)  | 
| 2080P0204X Pediatrics, Pediatric Emergency Medicine (Licence: NY 274403-1)  | |
| Enumeration Date | 2010-06-29 | 
| Last Update Date | 2020-01-03 |