NPI | 1578544557 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 2080P0203X Pediatrics, Pediatric Critical Care Medicine (Licence: MA 42857) |
Additional Taxonomies | 207PP0204X Emergency Medicine, Pediatric Emergency Medicine (Licence: MA 42857) |
208000000X Pediatrics (Licence: MA 42857) | |
Enumeration Date | 2005-11-08 |
Last Update Date | 2025-09-11 |