| NPI | 1588976633 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: NY 284735-1) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: FL ME114320) |
| Enumeration Date | 2010-07-06 |
| Last Update Date | 2023-08-28 |