| NPI | 1073001632 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: SC 86850) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: NY 308417) |
| Enumeration Date | 2018-04-28 |
| Last Update Date | 2023-06-26 |