| NPI | 1184062408 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: CT 52859) |
| Additional Taxonomies | 2080A0000X Pediatrics, Adolescent Medicine (Licence: CT 52859) |
| 208000000X Pediatrics (Licence: NY 031234) | |
| Enumeration Date | 2013-06-09 |
| Last Update Date | 2022-09-23 |