| NPI | 1780946814 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0204X Pediatrics, Pediatric Emergency Medicine (Licence: FL ME122200) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: FL ME122200) |
| Enumeration Date | 2012-06-14 |
| Last Update Date | 2019-06-05 |