| NPI | 1720517758 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: MA 287153) |
| Additional Taxonomies | 207PP0204X Emergency Medicine, Pediatric Emergency Medicine (Licence: MA 287153) |
| Enumeration Date | 2017-06-04 |
| Last Update Date | 2023-05-01 |