NPI | 1073686721 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207PP0204X Emergency Medicine, Pediatric Emergency Medicine (Licence: NY 187546) |
Additional Taxonomies | 208000000X Pediatrics (Licence: NY 187546) |
Enumeration Date | 2006-11-17 |
Last Update Date | 2023-06-05 |