| NPI | 1013349653 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: NY 263011) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: NY 263011-1) |
| Enumeration Date | 2013-08-06 |
| Last Update Date | 2023-02-24 |