| NPI | 1710273537 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0204X Pediatrics, Pediatric Emergency Medicine (Licence: GA 73537) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: NY 274808) |
| Enumeration Date | 2011-06-20 |
| Last Update Date | 2016-01-25 |