| NPI | 1457779761 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: NY 300010) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: MD D83453) |
| 208000000X Pediatrics (Licence: VA 0101276342) | |
| Enumeration Date | 2014-04-03 |
| Last Update Date | 2022-11-23 |