| NPI | 1326526971 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: NY 328505) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: VA 0116031229) |
| Enumeration Date | 2018-08-04 |
| Last Update Date | 2025-10-02 |