| NPI | 1891753257 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207PP0204X Emergency Medicine, Pediatric Emergency Medicine (Licence: FL ME112729) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: FL 112729) |
| Enumeration Date | 2006-05-03 |
| Last Update Date | 2018-06-13 |