| NPI | 1407208978 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: NY 301786) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: MD D0080853) |
| Enumeration Date | 2016-07-08 |
| Last Update Date | 2021-09-21 |