| NPI | 1558723759 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: CA C201006) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: NY 313713) |
| 208000000X Pediatrics (Licence: PA MD467730) | |
| Enumeration Date | 2016-03-26 |
| Last Update Date | 2026-02-19 |