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 |