| NPI | 1558590794 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: NY 283310) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: GA 069792) |
| Enumeration Date | 2009-07-09 |
| Last Update Date | 2025-07-24 |