| NPI | 1780628560 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207PP0204X Emergency Medicine, Pediatric Emergency Medicine (Licence: FL ME76828) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: FL ME0076828) |
| Enumeration Date | 2006-06-15 |
| Last Update Date | 2021-03-22 |