| NPI | 1184000796 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: CA A156325) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: NY 285193) |
| Enumeration Date | 2015-08-05 |
| Last Update Date | 2020-03-09 |