| NPI | 1699940726 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208000000X Pediatrics (Licence: NY 242882) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: NY 242882) |
| 2080P0204X Pediatrics, Pediatric Emergency Medicine (Licence: CT 050966) | |
| Enumeration Date | 2008-04-29 |
| Last Update Date | 2013-01-07 |