| NPI | 1588083281 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: NJ 25MB10044300) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: NY 307941) |
| 207RA0000X Internal Medicine, Adolescent Medicine (Licence: CA 20814) | |
| 208000000X Pediatrics (Licence: CA 20A20814) | |
| Enumeration Date | 2014-04-09 |
| Last Update Date | 2025-01-03 |