| NPI | 1790132801 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: NY 300275) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: ND 21419) |
| Enumeration Date | 2016-05-18 |
| Last Update Date | 2024-10-30 |