| NPI | 1285909630 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2080P0204X Pediatrics, Pediatric Emergency Medicine (Licence: NY 260493) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: NY 260493) |
| Enumeration Date | 2012-03-19 |
| Last Update Date | 2023-10-08 |