| NPI | 1780117606 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: NY 306956) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: NC 2024-02478) |
| Enumeration Date | 2017-04-07 |
| Last Update Date | 2024-10-07 |