| NPI | 1407256878 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208000000X Pediatrics (Licence: NY 286530) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: NY 286530) |
| Enumeration Date | 2014-09-03 |
| Last Update Date | 2025-09-17 |