| NPI | 1598872798 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: WI 50038) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: NY 239649) |
| Enumeration Date | 2006-08-24 |
| Last Update Date | 2024-05-24 |