| NPI | 1649701921 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2080P0203X Pediatrics, Pediatric Critical Care Medicine (Licence: MA 283587) |
| Additional Taxonomies | 2080P0203X Pediatrics, Pediatric Critical Care Medicine (Licence: NE 31269) |
| 208D00000X General Practice (Licence: NE 31269) | |
| 208D00000X General Practice (Licence: MA 283587) | |
| Enumeration Date | 2017-03-27 |
| Last Update Date | 2023-08-02 |