| NPI | 1528364908 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: FL OS14516) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: NY 258496) |
| 208000000X Pediatrics (Licence: GA 77225) | |
| 208000000X Pediatrics (Licence: NJ 25MB10651900) | |
| Enumeration Date | 2011-02-02 |
| Last Update Date | 2024-04-30 |