| NPI | 1316334766 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: NC 247143) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: NY 293100-1) |
| Enumeration Date | 2015-04-23 |
| Last Update Date | 2019-05-27 |