| NPI | 1487016937 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208000000X Pediatrics (Licence: NY 299787) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: CT 077098) |
| Enumeration Date | 2016-03-23 |
| Last Update Date | 2024-03-14 |