| NPI | 1023557832 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: ID O-1666) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: NY 305328) |
| Enumeration Date | 2017-02-14 |
| Last Update Date | 2024-06-10 |