| NPI | 1073561031 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: CA A68237) |
| Additional Taxonomies | 174400000X Specialist (Licence: NY 217392) |
| Enumeration Date | 2006-05-04 |
| Last Update Date | 2021-12-20 |