| NPI | 1689201626 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207PP0204X Emergency Medicine, Pediatric Emergency Medicine (Licence: NY 323627-01) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: MD 9478) |
| Enumeration Date | 2020-03-26 |
| Last Update Date | 2026-06-30 |