| NPI | 1730355025 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: MA 280890) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: NY 238793) |
| Enumeration Date | 2008-05-06 |
| Last Update Date | 2019-10-09 |