NPI | 1659598308 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207PP0204X Emergency Medicine, Pediatric Emergency Medicine (Licence: NY 276729) |
Additional Taxonomies | 208000000X Pediatrics (Licence: RI MD12694) |
Enumeration Date | 2007-04-20 |
Last Update Date | 2023-06-01 |