| NPI | 1780828798 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208000000X Pediatrics (Licence: FL ME131571) |
| Additional Taxonomies | 207PP0204X Emergency Medicine Pediatric Emergency Medicine (Licence: CA A119908) |
| Enumeration Date | 2009-04-22 |
| Last Update Date | 2020-04-13 |