| NPI | 1619069168 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0204X Pediatrics, Pediatric Emergency Medicine (Licence: NY 189048) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: NY 189048) |
| Enumeration Date | 2006-09-29 |
| Last Update Date | 2008-11-07 |