| NPI | 1861835258 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0204X Pediatrics, Pediatric Emergency Medicine (Licence: FL ME143423) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: OH 35.128238) |
| Enumeration Date | 2013-04-16 |
| Last Update Date | 2020-09-15 |