| NPI | 1174563605 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 208000000X Pediatrics (Licence: NJ 25MB11168000) | 
| Additional Taxonomies | 208000000X Pediatrics (Licence: MA 157546) | 
| 208000000X Pediatrics (Licence: TX M7569) | |
| Enumeration Date | 2006-06-06 | 
| Last Update Date | 2025-06-07 |