| NPI | 1568807279 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: NY 277933-01) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: CA A124968) |
| 208000000X Pediatrics (Licence: NJ 25MA10669600) | |
| Enumeration Date | 2013-05-08 |
| Last Update Date | 2023-06-21 |