| NPI | 1629126149 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0204X Pediatrics, Pediatric Emergency Medicine (Licence: FL ME112508) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: AL MD.29481) |
| 207P00000X Emergency Medicine (Licence: AL MD.29481) | |
| 208000000X Pediatrics (Licence: FL TRN10591) | |
| Enumeration Date | 2007-01-08 |
| Last Update Date | 2021-03-14 |