| NPI | 1285719971 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: NY 197936) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: CT 035295) |
| Enumeration Date | 2006-10-25 |
| Last Update Date | 2023-04-20 |