| NPI | 1023250222 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: LA MD.206481) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: NY 270859) |
| Enumeration Date | 2009-04-02 |
| Last Update Date | 2021-03-25 |