NPI | 1982883237 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207PE0004X Emergency Medicine, Emergency Medical Services (Licence: FL ME120132) |
Additional Taxonomies | 208000000X Pediatrics (Licence: NY 263150) |
208000000X Pediatrics (Licence: FL ME120132) | |
207PP0204X Emergency Medicine, Pediatric Emergency Medicine (Licence: FL ME120132) | |
Enumeration Date | 2007-11-02 |
Last Update Date | 2025-04-10 |