| NPI | 1316972250 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: CA C129786) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: NY 001069) |
| 2080P0204X Pediatrics, Pediatric Emergency Medicine (Licence: NY 001069) | |
| Enumeration Date | 2006-07-11 |
| Last Update Date | 2022-07-21 |