| NPI | 1285996272 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: NY 326142) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: AZ R73304) |
| 2080A0000X Pediatrics, Adolescent Medicine (Licence: NY 326142) | |
| Enumeration Date | 2012-06-14 |
| Last Update Date | 2024-01-18 |