| NPI | 1306040860 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080A0000X Pediatrics, Adolescent Medicine (Licence: NY 235374) |
| Additional Taxonomies | 2080A0000X Pediatrics, Adolescent Medicine (Licence: CT 046465) |
| Enumeration Date | 2007-06-11 |
| Last Update Date | 2024-04-26 |