NPI | 1518399617 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 2080H0002X (Licence: FL ME140169) |
Additional Taxonomies | 208000000X Pediatrics (Licence: MO 2016015489) |
2080P0204X Pediatrics, Pediatric Emergency Medicine (Licence: MO 2016015489) | |
208M00000X Hospitalist (Licence: MO 2016015489) | |
Enumeration Date | 2013-07-31 |
Last Update Date | 2021-10-21 |