| NPI | 1720237290 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2080P0204X Pediatrics, Pediatric Emergency Medicine (Licence: FL ME 109789) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: MI 4301091793) |
| Enumeration Date | 2008-09-09 |
| Last Update Date | 2012-10-19 |