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 |