| NPI | 1699188938 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0204X Pediatrics, Pediatric Emergency Medicine (Licence: MA 294527) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: CT 56510) |
| Enumeration Date | 2014-06-04 |
| Last Update Date | 2022-08-12 |