| NPI | 1598749624 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0204X Pediatrics Pediatric Emergency Medicine (Licence: MA 52834) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: MA 52834) |
| Enumeration Date | 2005-12-01 |
| Last Update Date | 2020-11-16 |