| NPI | 1396763546 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208000000X Pediatrics (Licence: SC 24949) |
| Additional Taxonomies | 207PP0204X Emergency Medicine, Pediatric Emergency Medicine (Licence: FL ME96449) |
| 208000000X Pediatrics (Licence: FL ME96449) | |
| Enumeration Date | 2006-07-17 |
| Last Update Date | 2020-11-12 |