| NPI | 1427587013 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: NY 306046-01) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: SC 51141) |
| Enumeration Date | 2017-06-07 |
| Last Update Date | 2023-04-13 |