| NPI | 1407029127 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207PP0204X Emergency Medicine, Pediatric Emergency Medicine (Licence: FL ME110997) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: NJ 25MA08374500) |
| 208000000X Pediatrics (Licence: FL ME110997) | |
| 208D00000X General Practice (Licence: FL ME110997) | |
| Enumeration Date | 2008-04-03 |
| Last Update Date | 2024-06-21 |