| NPI | 1609436435 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: CT 73923) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: VA 0116032904) |
| 208000000X Pediatrics (Licence: NY 322827) | |
| Enumeration Date | 2019-06-14 |
| Last Update Date | 2023-07-14 |