| NPI | 1891925103 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0204X Pediatrics, Pediatric Emergency Medicine (Licence: FL ME159549) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: PA MD445155) |
| 208000000X Pediatrics (Licence: MA MD285394) | |
| Enumeration Date | 2009-07-21 |
| Last Update Date | 2022-10-21 |