| NPI | 1073724647 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: MO 2007012355) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: NY 266166) |
| 2080P0204X Pediatrics, Pediatric Emergency Medicine (Licence: NY 266166) | |
| Enumeration Date | 2007-05-25 |
| Last Update Date | 2023-07-07 |