| NPI | 1578544557 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207PP0204X Emergency Medicine, Pediatric Emergency Medicine (Licence: MA 42857) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: MA 42857) |
| 2080P0203X Pediatrics, Pediatric Critical Care Medicine (Licence: MA 42857) | |
| Enumeration Date | 2005-11-08 |
| Last Update Date | 2007-07-08 |