| NPI | 1982004305 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: NY 289384) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: NY 289384) |
| Enumeration Date | 2014-09-04 |
| Last Update Date | 2024-05-09 |