| NPI | 1699804930 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2080P0204X Pediatrics, Pediatric Emergency Medicine (Licence: FL ME117539) |
| Additional Taxonomies | 2080P0204X Pediatrics, Pediatric Emergency Medicine (Licence: TX N8869) |
| 2080P0204X Pediatrics, Pediatric Emergency Medicine (Licence: NY 233798) | |
| Enumeration Date | 2007-03-04 |
| Last Update Date | 2021-07-07 |