| NPI | 1477514503 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0204X Pediatrics, Pediatric Emergency Medicine (Licence: FL ME93470) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: FL ME93470) |
| 208000000X Pediatrics (Licence: KY 40171) | |
| 2080P0204X Pediatrics, Pediatric Emergency Medicine (Licence: KY 40171) | |
| Enumeration Date | 2006-03-29 |
| Last Update Date | 2018-03-17 |