| NPI | 1609033554 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2080N0001X Pediatrics, Neonatal-Perinatal Medicine (Licence: NY 246681) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: NY 246681) |
| Enumeration Date | 2008-05-19 |
| Last Update Date | 2021-06-08 |