| NPI | 1588645758 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: NY 242134) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: NC 201502231) |
| Enumeration Date | 2005-11-07 |
| Last Update Date | 2023-03-07 |