| NPI | 1891287207 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207PP0204X Emergency Medicine, Pediatric Emergency Medicine (Licence: MA 1018463) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: RI LP04279) |
| 2080P0204X Pediatrics, Pediatric Emergency Medicine (Licence: CT 67568) | |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2018-05-31 |
| Last Update Date | 2024-05-09 |