| NPI | 1477594471 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0204X Pediatrics, Pediatric Emergency Medicine (Licence: FL ME116047) |
| Additional Taxonomies | 2080P0204X Pediatrics, Pediatric Emergency Medicine (Licence: NY 251552) |
| 208D00000X General Practice (Licence: FL ME116047) | |
| Enumeration Date | 2006-06-09 |
| Last Update Date | 2021-01-22 |