| NPI | 1144803271 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: CT 82386) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: NY 330447-01) |
| Enumeration Date | 2021-05-05 |
| Last Update Date | 2025-07-11 |