| NPI | 1598086878 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: NY 258162) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: CT 048786) |
| Enumeration Date | 2010-06-21 |
| Last Update Date | 2025-11-17 |