| NPI | 1265556690 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: NV 257072) |
| Additional Taxonomies | 2080A0000X Pediatrics, Adolescent Medicine (Licence: NY 257072) |
| Enumeration Date | 2007-03-19 |
| Last Update Date | 2021-04-30 |