| NPI | 1346691441 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: NY 300999) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: PA MD472310) |
| Enumeration Date | 2016-06-29 |
| Last Update Date | 2022-04-20 |