| NPI | 1831570241 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0204X Pediatrics, Pediatric Emergency Medicine (Licence: FL ME150579) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: RI MD16220) |
| 208000000X Pediatrics (Licence: MA L-263133) | |
| Enumeration Date | 2015-06-11 |
| Last Update Date | 2021-06-24 |