| NPI | 1649685678 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2080P0204X Pediatrics, Pediatric Emergency Medicine (Licence: FL ME131436) |
| Additional Taxonomies | 207PP0204X Emergency Medicine, Pediatric Emergency Medicine (Licence: FL ME131436) |
| 208000000X Pediatrics (Licence: FL ME131436) | |
| Enumeration Date | 2014-06-28 |
| Last Update Date | 2022-09-13 |