| NPI | 1649564873 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0204X Pediatrics, Pediatric Emergency Medicine (Licence: FL ME129045) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: PA MT199140) |
| Enumeration Date | 2011-06-06 |
| Last Update Date | 2022-07-21 |