| NPI | 1023273828 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2080P0204X Pediatrics, Pediatric Emergency Medicine (Licence: NY FF0964848) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: NY 249574) |
| Enumeration Date | 2008-07-22 |
| Last Update Date | 2026-01-16 |