| NPI | 1417158130 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: NY 304858) |
| Additional Taxonomies | 2080P0204X Pediatrics Pediatric Emergency Medicine (Licence: NY 304858) |
| Enumeration Date | 2007-05-30 |
| Last Update Date | 2024-08-06 |