| NPI | 1861870990 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2080P0204X Pediatrics Pediatric Emergency Medicine (Licence: MA 274194) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: MA 274194) |
| Enumeration Date | 2015-05-08 |
| Last Update Date | 2021-07-13 |