| NPI | 1790134880 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: NY 300156) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: CA A168984) |
| Enumeration Date | 2016-06-09 |
| Last Update Date | 2024-03-23 |