| NPI | 1093073108 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: CT 62316) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: NY 278849) |
| Enumeration Date | 2012-04-26 |
| Last Update Date | 2022-04-14 |