| NPI | 1689051401 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2080P0204X Pediatrics, Pediatric Emergency Medicine (Licence: NY 293180) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: NY 293180) |
| Enumeration Date | 2015-04-30 |
| Last Update Date | 2021-11-03 |