| NPI | 1972769248 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0204X Pediatrics, Pediatric Emergency Medicine (Licence: NY 253763) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: NY 253763-1) |
| Enumeration Date | 2008-08-05 |
| Last Update Date | 2023-01-05 |