| NPI | 1083145346 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: MA 287791) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: NY 304261) |
| Enumeration Date | 2017-03-27 |
| Last Update Date | 2022-05-11 |