| NPI | 1275689093 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0006X Pediatrics, Developmental - Behavioral Pediatrics (Licence: MA 239403) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MA 239403) |
| 208000000X Pediatrics (Licence: MA 239403) | |
| Enumeration Date | 2007-01-26 |
| Last Update Date | 2026-07-31 |