NPI | 1720407323 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207PP0204X Emergency Medicine, Pediatric Emergency Medicine (Licence: NY 288839) |
Additional Taxonomies | 208000000X Pediatrics (Licence: NY 288839) |
Enumeration Date | 2014-04-10 |
Last Update Date | 2022-08-09 |