| NPI | 1780098194 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0204X Pediatrics, Pediatric Emergency Medicine (Licence: CA xxxx) |
| Additional Taxonomies | 207PP0204X Emergency Medicine, Pediatric Emergency Medicine (Licence: RI MD15880) |
| 208000000X Pediatrics (Licence: PA MT207363) | |
| 208000000X Pediatrics (Licence: MA 264324) | |
| 2080P0204X Pediatrics, Pediatric Emergency Medicine (Licence: RI MD15880) | |
| Enumeration Date | 2014-06-13 |
| Last Update Date | 2020-06-22 |