| NPI | 1043357585 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080A0000X Pediatrics, Adolescent Medicine (Licence: NY 190779) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: CT 64457) |
| Enumeration Date | 2007-02-01 |
| Last Update Date | 2024-12-26 |