| NPI | 1609293570 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080A0000X Pediatrics, Adolescent Medicine (Licence: CT 64821) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: NY 289003) |
| Enumeration Date | 2014-03-27 |
| Last Update Date | 2022-07-21 |