| NPI | 1033435631 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208000000X Pediatrics (Licence: NY 279208) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: MA 257148) |
| Enumeration Date | 2010-04-08 |
| Last Update Date | 2025-05-30 |