| NPI | 1013448455 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080A0000X Pediatrics, Adolescent Medicine (Licence: NY 305511) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: NY 305511) |
| Enumeration Date | 2017-03-27 |
| Last Update Date | 2023-07-25 |