| NPI | 1598720047 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208000000X Pediatrics (Licence: NY 158426-1) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: NY 156428) |
| 208000000X Pediatrics (Licence: NY 156428-1) | |
| Enumeration Date | 2006-04-19 |
| Last Update Date | 2023-02-06 |