| NPI | 1770014102 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0204X Pediatrics, Pediatric Emergency Medicine (Licence: NY 305424) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: OH 35.141273) |
| Enumeration Date | 2017-03-27 |
| Last Update Date | 2025-04-17 |