| NPI | 1073704151 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: MD D0084290) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: NY 268459) |
| Enumeration Date | 2007-08-05 |
| Last Update Date | 2021-08-24 |