| NPI | 1457514192 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: NH 34542) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: NY 245637) |
| Enumeration Date | 2008-07-02 |
| Last Update Date | 2025-08-13 |