| NPI | 1043402811 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207PP0204X Emergency Medicine, Pediatric Emergency Medicine (Licence: NY 256777) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: PA MT188851) |
| Enumeration Date | 2007-08-15 |
| Last Update Date | 2022-09-12 |