| NPI | 1134219314 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 2080P0204X Pediatrics, Pediatric Emergency Medicine (Licence: NY 218139)  | 
| Additional Taxonomies | 208000000X Pediatrics (Licence: NY 218139)  | 
| 207PP0204X Emergency Medicine, Pediatric Emergency Medicine (Licence: NY 218139)  | |
| Enumeration Date | 2006-10-16 | 
| Last Update Date | 2023-11-30 |