| NPI | 1609892132 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: TX T8959) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: FL ME165197) |
| 208000000X Pediatrics (Licence: NY 210827) | |
| Enumeration Date | 2006-07-15 |
| Last Update Date | 2025-01-09 |