| NPI | 1528031150 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2080A0000X Pediatrics, Adolescent Medicine (Licence: NY 188526) |
| Additional Taxonomies | 174400000X Specialist (Licence: PA OS006856L) |
| Enumeration Date | 2006-02-13 |
| Last Update Date | 2020-11-10 |