| NPI | 1417571456 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: VA 0101282754) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: NY 330799) |
| Enumeration Date | 2020-06-05 |
| Last Update Date | 2025-11-11 |