| NPI | 1780614693 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: NY 291708) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: CA A83687) |
| Enumeration Date | 2006-07-04 |
| Last Update Date | 2023-02-15 |