| NPI | 1245491307 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2080A0000X Pediatrics, Adolescent Medicine (Licence: NY 255397) |
| Additional Taxonomies | 208000000X Pediatrics |
| Enumeration Date | 2008-06-21 |
| Last Update Date | 2022-07-21 |