| NPI | 1972537314 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208000000X Pediatrics (Licence: NY 218105) |
| Additional Taxonomies | 2080P0204X Pediatrics Pediatric Emergency Medicine (Licence: NY 218105) |
| Enumeration Date | 2006-07-10 |
| Last Update Date | 2016-02-03 |