| 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 |