| NPI | 1841753597 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207PP0204X Emergency Medicine, Pediatric Emergency Medicine (Licence: FL ME157199) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: FL ME157199) |
| Enumeration Date | 2019-04-10 |
| Last Update Date | 2025-06-17 |