| NPI | 1073582581 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208000000X Pediatrics (Licence: NY 228916) |
| Additional Taxonomies | 2080A0000X Pediatrics, Adolescent Medicine (Licence: NY 228916) |
| Enumeration Date | 2006-03-16 |
| Last Update Date | 2025-03-19 |