| NPI | 1548556228 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: NC 2024-02708) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: NY 265858) |
| Enumeration Date | 2011-06-21 |
| Last Update Date | 2024-11-20 |