| NPI | 1972997419 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080H0002X (Licence: FL ME158883) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: NV 17965) |
| 2080P0204X Pediatrics, Pediatric Emergency Medicine (Licence: MI 4301117052) | |
| 207RH0002X Internal Medicine, Hospice and Palliative Medicine (Licence: MI 4301117052) | |
| Enumeration Date | 2015-03-23 |
| Last Update Date | 2023-02-08 |