| NPI | 1518459403 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: NY 337171) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: IL 036155585) |
| 208000000X Pediatrics (Licence: IA R-11294) | |
| Enumeration Date | 2018-06-05 |
| Last Update Date | 2026-05-22 |