| NPI | 1215237417 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080A0000X Pediatrics, Adolescent Medicine (Licence: NY 260204) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: NY 260204) |
| Enumeration Date | 2010-10-22 |
| Last Update Date | 2020-05-29 |