| NPI | 1588081467 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: PA 477057) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: MA 269837) |
| 208000000X Pediatrics (Licence: NY 281386) | |
| Enumeration Date | 2014-03-27 |
| Last Update Date | 2022-07-19 |