| NPI | 1942298591 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: TX ME0086339) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: FL ME0086339) |
| Enumeration Date | 2005-10-07 |
| Last Update Date | 2012-05-08 |