| NPI | 1366575201 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: TX R1687) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: NJ 25MA081668) |
| 208000000X Pediatrics (Licence: NY 241775) | |
| Enumeration Date | 2007-03-13 |
| Last Update Date | 2020-09-04 |