| NPI | 1386039451 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2080A0000X Pediatrics, Adolescent Medicine (Licence: NY 295151) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: NY 295151) |
| Enumeration Date | 2015-04-05 |
| Last Update Date | 2024-06-21 |