| NPI | 1790075836 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0204X Pediatrics Pediatric Emergency Medicine (Licence: MA 281872) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: OH 35.124365) |
| 2080P0204X Pediatrics Pediatric Emergency Medicine (Licence: OH 35.124365) | |
| Enumeration Date | 2011-04-11 |
| Last Update Date | 2020-02-28 |