| NPI | 1306004163 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: NC 2020-03124) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: NY 233488) |
| 208000000X Pediatrics (Licence: CT 049604) | |
| Enumeration Date | 2008-05-29 |
| Last Update Date | 2024-01-03 |