| NPI | 1760723191 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: CA C180789) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: CT 049191) |
| 208000000X Pediatrics (Licence: NY 268909) | |
| Enumeration Date | 2013-03-11 |
| Last Update Date | 2024-04-10 |