| NPI | 1073626974 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: NC 2006-01100) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: NY 225042) |
| Enumeration Date | 2006-08-16 |
| Last Update Date | 2021-05-10 |