| NPI | 1245625433 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: NY 322687) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: WY 11726A) |
| Enumeration Date | 2015-04-03 |
| Last Update Date | 2023-12-11 |