| NPI | 1831368307 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: FL ME119669) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: MO 2010011909) |
| 2080P0204X Pediatrics, Pediatric Emergency Medicine (Licence: MO 2010011909) | |
| Enumeration Date | 2008-02-28 |
| Last Update Date | 2019-10-15 |