| NPI | 1396734067 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: CA C142754) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: NY 222890) |
| Enumeration Date | 2005-10-17 |
| Last Update Date | 2025-08-19 |