| NPI | 1447635875 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: FL ME175477) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: NY 298447) |
| Enumeration Date | 2015-07-27 |
| Last Update Date | 2025-09-09 |