| NPI | 1598908188 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208000000X Pediatrics (Licence: FL ME104055) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: NY 264339-1) |
| 2080P0204X Pediatrics, Pediatric Emergency Medicine (Licence: FL ME104055) | |
| Enumeration Date | 2009-04-12 |
| Last Update Date | 2022-02-16 |