| NPI | 1972521177 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: NY 137938-1) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: NY 137938-1) |
| Enumeration Date | 2006-07-17 |
| Last Update Date | 2021-04-06 |