| NPI | 1598007528 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0204X Pediatrics, Pediatric Emergency Medicine (Licence: FL ME144544) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: WA 60368530) |
| 208000000X Pediatrics (Licence: FL ME144544) | |
| Enumeration Date | 2013-03-16 |
| Last Update Date | 2021-01-14 |