| NPI | 1548968415 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080A0000X Pediatrics, Adolescent Medicine (Licence: NY 119000-1) |
| Additional Taxonomies | 104100000X Social Worker (Licence: NY 119000-1) |
| Enumeration Date | 2023-02-21 |
| Last Update Date | 2023-11-30 |