| NPI | 1750887634 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: CA A182627) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: NY 309521-01) |
| Enumeration Date | 2018-04-01 |
| Last Update Date | 2022-11-07 |