| NPI | 1740360569 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: NY 174611-01) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: NY 1746111) |
| 208000000X Pediatrics (Licence: NJ 25MA05279700) | |
| 208000000X Pediatrics (Licence: MI 4301055477) | |
| 208000000X Pediatrics (Licence: PA MD040565L) | |
| Enumeration Date | 2006-10-16 |
| Last Update Date | 2021-10-07 |