| NPI | 1609308998 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0204X Pediatrics Pediatric Emergency Medicine (Licence: NY 321242) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: OH 35.138539) |
| Enumeration Date | 2017-03-28 |
| Last Update Date | 2023-09-18 |