| NPI | 1023578010 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0204X Pediatrics, Pediatric Emergency Medicine (Licence: NY 321560) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: NY 321560) |
| 2080P0204X Pediatrics, Pediatric Emergency Medicine (Licence: CT 84055) | |
| 208000000X Pediatrics (Licence: MA 292742) | |
| Enumeration Date | 2019-03-25 |
| Last Update Date | 2026-04-09 |