| NPI | 1316438245 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: TX V9279) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: NY 313126) |
| Enumeration Date | 2018-05-26 |
| Last Update Date | 2025-09-25 |