| NPI | 1639600661 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0204X Pediatrics, Pediatric Emergency Medicine (Licence: FL ME160834) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: KY 53394) |
| 2080P0204X Pediatrics, Pediatric Emergency Medicine (Licence: KY 53394) | |
| Enumeration Date | 2017-03-22 |
| Last Update Date | 2024-08-20 |