| NPI | 1639114580 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: FL ME28084) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: FL ME28084) |
| Enumeration Date | 2006-06-17 |
| Last Update Date | 2007-07-23 |