| NPI | 1548503394 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207PP0204X Emergency Medicine, Pediatric Emergency Medicine (Licence: FL ME126532) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: FL 126532) |
| 2080P0204X Pediatrics, Pediatric Emergency Medicine (Licence: FL ME126532) | |
| Enumeration Date | 2013-03-30 |
| Last Update Date | 2018-05-21 |