| NPI | 1750871539 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: VA 0102206414) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: DC 210001752) |
| 208000000X Pediatrics (Licence: PA Os024737C) | |
| 208000000X Pediatrics (Licence: NY 335132) | |
| 208000000X Pediatrics (Licence: MD H0095520) | |
| 208000000X Pediatrics (Licence: NJ 25IA12592000) | |
| Enumeration Date | 2018-05-16 |
| Last Update Date | 2025-04-30 |