| NPI | 1740486786 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: NY 240780) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: CA A99193) |
| Enumeration Date | 2007-06-26 |
| Last Update Date | 2023-03-07 |