| NPI | 1922635523 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: NY 336151) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: NY 336151) |
| 207P00000X Emergency Medicine (Licence: MD D0102985) | |
| 207PP0204X Emergency Medicine, Pediatric Emergency Medicine (Licence: MD d0102985) | |
| 207PP0204X Emergency Medicine, Pediatric Emergency Medicine (Licence: NY 336151) | |
| 208000000X Pediatrics (Licence: MD D0102985) | |
| Enumeration Date | 2020-03-24 |
| Last Update Date | 2025-08-11 |