| NPI | 1780870840 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080A0000X Pediatrics, Adolescent Medicine (Licence: TN 51883) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: NY 230229) |
| Enumeration Date | 2007-09-21 |
| Last Update Date | 2022-03-22 |